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Zeeb Road, Ann Arbor, Ml 48106 Ph.D. 1985 AN EXPLORATORY STUDY OF YOUNG CONVICTED DRINKING DRIVERS: PRELIMINARY IDENTIFICATION OF PROBLEM DRINKERS WITH IMPLICATIONS FOR REEDUCATION By Frank Peter Ciloski A DISSERTATION Submitted to Michigan State University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Department of Teacher Education 1985 A c k n o w ledgements Sincere appreciation is ex p r e s s e d to the following persons for their assistance, guidance, The doctoral guidance committee: Dr. Donald L. Smith, and encouragement: Dr. Dr. Ann E. Cunningham, Robert 0. Nolan, and Dr. Charles A. Blackman. Mr. Fredrick E. Van o s d a l l of the H i g h w a y Traffic Safety Programs for his technical guidance and assistance. Judge Daniel L. Tschirhart of the M i c h i g a n 54th B District Court, East Lansing, Michigan, and his probation officer Marianne Hurska for their assistance of the in the obtaining invaluable data. Dr. Richard Ho u a n g of the User Information Service at the Michigan State U n i v e r s i t y C o m p u t e r Center for his technical assistance in the p r e p a r a t i o n and interpretation of the data a n a l y s e s . To m y wife Sandie, and m y children Scott, and Brian for their patience, encouragement, Michelle, and endurance without w h i c h this s t u d y w o u l d not have been possible. ABSTRACT AN EXPLORATORY STUDY OF YOUNG CONVICTED DRINKING DRIVERS: PRELIMINARY IDENTIFICATION OF PROBLEM DRINKERS WITH IMPLICATIONS FOR REEDUCATION By Frank Peter Ciloski Statement of the Problem As of April 1, 1983, Michigan statutes (MCLA 257.625) requires the assessment of all individuals convicted of operating under the influence of intoxicating liquor (OUIL) in order to identify the level of alcohol-related problems in the individual by approved personnel. This assessment process requires a lengthy time period for both the assessor and the individual. A search for a cost-effective means to reduce this time period is essential. The purpose of this study was to determine the feasi­ bility of establishing a prediction model by use of regression analysis of the pre-selected descriptive variables which provides significant predictability of problem behavior to be cost effective in its application. Additionally, this study may provide information on the characteristics of young OUIL offenders which may have application to the reeducation of these offenders to prevent subsequent similar violations or enhance intervention techniques prior to T ran': P e t e r CilccldL initial violations. this study were: The pre-selected variables used in the global score on the Mortimer-Filkins Test which acted as the dependent variable with respect to the independent variables 1) age; tration; 2) blood alcohol concen­ 3) number of alcohol drinking years; 4) alcohol drinking days in the previous thirty days prior to assessment; 5) moving violations; 6) alcohol-related violations; reckless driving violations; 7) and 8) reported motor vehicle accidents. Description of the M e t h o d s , Techniques and Data Used Data on a selected sample of 126 young (ages 25 or less) convicted OUIL offenders was obtained from the Michigan 54th B district Court, East Lansing, Michigan who met quali­ fications for inclusion in the sample. The data were arranged, analysis. interpreted, and coded for For the purposes of statistical analysis the global score on the Mortimer-Filkins Test acted as dependent variable while the remaining data acted as the independent v a r iable. The following analysis of the data were conducted: 1. An analysis of variance for the differences of mean scores for the independent variables and level of problem classification. 2. The relationship of the dependent variable to each of the eight independent variables. Frc’.r.li P e t er Cilos'd. 3. A multiple linear regression analysis of the dependent variable to the eight independent variables. The Major Findings The findings of this study are many. A limited number of these findings follows: A significant difference in the mean scores for the independent variables motor vehicle accidents, related violations, alcohol- number of alcohol drinking days in the previous thirty days prior to assessment existed for the level of problem classification. A significant relationship existed between the dependent variable and these independent va r i a b l e s : accidents, alcohol-related violations, motor vehicle age, number of alcohol drinking y e a r s , and alcohol drinking days in the previous thirty days prior to assessment. A prediction model for the dependent variable was derived using the following independent variables: Motor vehicle accidents, and Alcohol-related violations, Age, Number of alcohol drinking y e a r s . Blood alcohol concentration at the time of arrest did not significantly influence the dependent variable, nor was there a significant relationship with any of the other variables. Previous descriptive behaviors are related to the global score on the Mortimer-Filkins Test. TABLE OF CONTENTS T I T L E ......................................................... A CKNOWLEDGEMENTS. . i ii A B S T R A C T ...................................................... iii I N T R O D U C T I O N ............ ...................... 1 I n t r o d u c t i o n ............................................... Purpose of the S t u d y ...................................... Statement of Research Problem .......................... Delimitations ............................................. Limitations ............................................... Basic Assumptions ........................................ Operat i o n a l Definitions ................................. O r g a n ization of the Study ............................... F o o t n o t e s ........... 1 4 4 5 5 7 8 9 10 C H A P T E R I. C H A P T E R II. LITERATURE R E V I E W ............................ I n t r o d u c t i o n ............................................... Studies of the Effect Alcohol Has on the Traffic P r o b l e m ............................................... Single Vehicle Accidents ............................ Consumption Patterns ................................. Studies of Young Driver and A l c o h o l - R e l a t e d D r i v i n g ............................................. Demographic Studies of Drinking D r i v e r s ............ Hig h - R i s k Driver Studies ............................ Enforcement C o u n t e r m e a s u r e s .......................... Effects of the Drinking Age on Traffic Fatalities. O ther Variables and Youthful Traffic Accidents . . E n g i n e e r i n g C o u n t e r m e a s u r e s .......................... Educational C o u n t e r m e a s u r e s .......................... Studies on the Drinking Behavior of the General P o p u l a t i o n ............................................. Characteristics of Young D r i n k e r s ................... Ea r l y Drinking and Subsequent Alco h o l Problems . . The M o r t i m er-Filkins T e s t ............................... Introduction ........................................... Design and Statistical A n a l y s i s ..................... Allied Research Studies ............................ S u p p lementary Information P r esented for the A s s e s s o r ............................................. vi 12 12 14 15 16 18 21 24 31 34 36 38 39 44 48 51 53 53 54 55 56 vii S u m m a r y .................................................. F o o t n o t e s ............................................... C H A P T E R III. DESIGN AND M E T H O D O L O G Y ..................... 59 62 69 The P o p u l a t i o n ............................................. Sampl i n g Design ........................................... Data S o u r c e ............................................... Data I n t e r p r e t a t i o n ...................................... The Null H y p o t h e s e s Methods of A n a l y s i s ...................................... Report of A n a l y s i s ...................................... F o o t n o t e s .................................................. 69 70 70 71 73 78 78 79 ANALY S I S O F THE D A T A ........................ 80 C H A P T E R IV. Differences in the Mean Scores for Each Independent Va r iable and the Level of Problem Classification . 80 82 A g e ...................................................... 82 B lood Alco h o l C o n c e n t r a t i o n .......................... The Reported Number of Alcohol Drinking Years. . . 85 The Number of A l c o h o l Drinking Days in the Previous T h i r t y Prior to Assessment ............ 85 M o v i n g V i olations ................................... 85 A l c o h o l - R e l a t e d Violations .......................... 88 88 Reckless Driving V i o l a t i o n s .......................... Reported Number of Motor Vehicle Accidents . . . . 92 The R e l a tionship of the Dependent Variable, the M o r t i m e r - F i l k i n s Test, to the Eight Independent V a r i a b l e s ............................................... 92 The Development of a Prediction M odel by Use of M u l t i p l e R e gression T e c h n i q u e ........................ 97 Other Relationships Derived From the Analysis of the D a t a ....................................................... 101 S u m m a r y ........... 105 F o o t n o t e s .....................................................109 C H A P T E R V. SUMMARY, FINDINGS, C O N C L U S I O N S ,R E C O M M E N ­ DATIONS, AND D I S C U S S I O N / R E F L E C T I O N .......................... Ill M ajor F i n d i n g s ................................................ Ill A d d i t i o n a l Findings ...................................... 112 A g e ......................................................... 112 B lood Alco h o l C o n c e n t r a t i o n ............................. 113 R e p orted Number of Alcohol Drinking Y e a r s ............. 113 Re p orted Number of Alcohol Drinking Days in the Th i r t y Days Prior to Assessment .............. 113 Number of Mov i n g Violations ........................ 114 Number of Reckless Driving V i o l a t i o n s ................. 115 C o n c l u s i o n s .................................................. 115 Recommendations .......................................... 118 General. ........................................... 118 R e s earch ........................................... 119 Discussion ........................................... 120 viii R e f l e c t i o n s .................................................. 122 F o o t n o t e s .....................................................127 A P P ENDIX A Means for all Variables b y Level of Problem C l a s s i ­ fication Sample, and the Standard Error of the Sample M e a n ............................................. A1 AP P ENDIX B Pearson C orrelation Co e f f i c i e n t Values for the Various Combinations of the Eight Independent V a r i a b l e s ............................................... B1 APPENDIX C The Mortim e r - F i l k i n s T e s t ............................... Cl APPENDIX D The Pearson Co r r e l a t i o n Method, Multiple Regression, and Residual Analysis ............................... The Importance of the r Squared V a l u e ................. M u l tiple Regression ...................................... Stepwise Method of E n t r y ................................. Partial Correl a t i o n Coeffi c i e n t Squared and Multiple r S t a t i s t i c s ........................................... Analysis of Residuals .................................... F o o t n o t e s .................................................. BIBLIOGRAPHY D1 D1 D2 D2 D3 D3 D7 128 LIST OF TABLES BAC Levels of T e s t e d Drivers--1980 ................ Compos i t i o n of the selected sample b y level of p r o b l e m c l a s s i f i c a t i o n as d e t e r m i n e d by the global score on the Mortim e r - F i l k i n s Test . . . An analysis of v a r i a n c e of the mea n age for eac h level of p r o b l e m c l a s s i f i c a t i o n ............ An analysis of v a r i a n c e of the mea n b lood alcohol c o n c e n t r a t i o n for each level of prob l e m c l a s s i f i c a t i o n ...................................... An analysis of v a r i a n c e of the means for the r e p o r t e d n u m b e r of years of alcohol drinking for e ach level of p r o b l e m classification. . . . An analysis of v a r i a n c e of the mea n number of re p o r t e d alco h o l d r i nking days p r i o r to assessment for each level of p r o b l e m c l a s s i f i c a t i o n ...................................... An analysis of v a r i a n c e of the m ean number of mo v i n g v i o l a t i o n s for each level of prob l e m c l a s s i f i c a t i o n ...................................... An analysis of v a r i a n c e of the m ean number of a l c o h o l - r e l a t e d violations for eac h level of p r o b l e m c l a s s i f i c a t i o n ............................ An analysis of v a r i a n c e of the m ean number of reckless d r i v i n g violations for e ach level of p r o b l e m c l a s s i f i c a t i o n ........................ An analysis of v a r i a n c e of the mea n number of r e p o r t e d m o t o r vehicle accidents for each level of p r o b l e m c l a ssification ................ The r e l a t i o n s h i p of each of the eight (8) i ndependent variables to the dependent variable, the Mortim e r - F i l k i n s Test, by rank order of r e l a t i o n s h i p ....................... Multiple linear r egression output: variables in the equation. ........................................ M u l tiple linear regre s s i o n output: variables not in the e q u a t i o n ................................... A dditional r e g r e s s i o n statistics ................... Multiple r e g r e s s i o n analysis of variance ......... Analysis of r e s i d u a l statistics of the dependent v a r iable ............................... ix 19 81 83 84 86 87 89 90 91 93 95 00 02 .03 D5 D6 Chapter I Introduction Eac h year y oung drivers under age twe n t y five are over re p r e s e n t e d in traffic fatalities, and all too often alcohol d r i nking is a suspected related cause. group represents account W h i l e this 22 percent of the licensed drivers, for 38 percent of all fatal accidents.'*' they If the percent of vehicle miles traveled is p a i r e d w i t h the percent of alcohol involved accidents for this age group, the s t a t i s ­ tics reveal that drivers under age t wenty-five account for n e a r l y 20 percent of the vehicle miles and s l i g h t l y more than 42 percent of the alcohol involved accidents. The p h enomenon is often explained as the y oung person's inexperience w i t h driving and a concurrent inexperience wi t h drinking alcohol. Since alcohol ex post facto, involved accidents are investigated any supposition about the role of alcohol in traffic accidents remain hypothetical. However, this need not be a deterrent to the development of e a r l y identif i c a tion-prevention models directed at drivers. "high-risk" young At present there is a clear need for assessment processes w h i c h aid in the reliable risk drivers i d e ntification of high- likely to continue to have problems contro l l i n g alcohol use as it impacts on highway traffic safety. As of April 1, 1983, the State of M i c h i g a n revised the statues p e r t a i n i n g to operationg under the influence of intoxicating liquor (OUIL). An important change 1 in the 2 structure of the law was the m a n d a t i n g of a p r e - s e n t e n c i n g assessment of all individuals of the assessment convicted of OUIL. The purpose is to e s tablish the degree of alcohol- related problems w i t h the offender. by state approved agencies only, Assessments are conducted typ i c a l l y court p r o bation offices or substance abuse agencies. These agencies have been instructed by the M i c higan Department of Public Health's Office of Substance Abuse Services to utilize an approved assessment p r o t o c o l in ma k i n g a d e t e rmination of alcoholrelated problems. Filkins Test. One such approved p r o t o c o l is the Mortimer- 2 The Morti m e r - F i l k i n s Test has been r e c o m m e n d e d because of its high degree of re l i a b i l i t y and validity. of the M o r t i m e r-Filkins The authors Test r e p orted a r e l i a b i l i t y coefficient of 0.98 and a v a l i d i t y coefficient of 0.92. Additionally, t h e y r e p orted that 98.5 percent of the alcoholics, but no more than 1.5 percent of the n o n -alcoholics w o u l d be identified as p r o b l e m drinkers by use of their cut-off score. 3 Other studies reliability, have likewise r e p orted on the efficiency, and v a l i d i t y of the Mortim e r - F i l k i n s Test in identifying a l c o h o l - r e l a t e d problems, and for this reason the Mo r t i m er-Filkins Test was the criterion measure of this study. Two limitations of the M o r t i m er-Filkins Test are the amount of time required to complete the assessment by the assessment officer, and the test ma y discriminate less sharply among younger offenders. W i t h this in mind, a search for selected variables that are read i l y available 4 3 to assessment p e r s o n n e l and related to prob l e m drinking among younger OUIL offenders is necessary. a re v i e w of the literature yielded eight For this purp o s e (8) descriptive variables w h i c h could be a p p r opriately used to assess p r o b l e m drinking in these y o u n g offenders . They are: 1) Age 2) Blood Alco h o l Concentration at the Time of Arrest 3) Moving Violations 4) Alcohol Related Violations 5) Reckless 6) Reported M otor Vehicle Accidents 7) Reported Number of Alcohol Drinking Years 8) Reported Number of Drinking Days in the Previous Thirty (30) Days Prior to Assessment. Numerous Driving Violations authors have identified the first six variables: age, b l o o d alcohol concentration, elements (moving violations, reckless driving violations, priate and the driving record alcohol-related violations, and accidents) as being appro- to the e v aluation of drinking drivers. two v a r iables are b y 5 . . The r e m a i n i n g nature the result of self-reported data from the individual drinking driver. The r e l i a b i l i t y of self-r e p o r t e d data has been discussed by McKnight, w ell as as b y W e n d l i n g and Kolody, who found it invaluable to their £ work on the impact of alcohol use on highway traffic safety. In addition, the importance of when individual alcohol d r i n k i n g begins as a factor in determining prob l e m drinking has been e stablished by several researchers. 7 The relationship of q u a n t i t y - f r e q u e n c y to p r o b l e m drinking has likewise been 4 g established b y numerous authors. Thus all p r e - selected variables have been u t i lized in other r e s e a r c h studies; however, these eight independent variables have not been utilized in a study of y oung convicted OUIL offenders when the criterion meas u r e was the M o rtimer-Filkins Test. Purpose of the Study The p u r p o s e of the s tudy was to determine the feasibility of esta b l i s h i n g a p r e d i c t i o n model by use of a regression analysis of the p r e - s e l e c t e d descriptive variables which provide significant p r e d i c t a b i l i t y of p r o b l e m behavior to be cost e f f ective in its application. this study m a y prov i d e Additionally, information on the characteristics of young OUIL offenders w h i c h m a y have application to the reeducation of these offenders similar violations, in order to prevent subsequent or to enhance intervention techniques prior to initial violations. Statement of Research Problem This study was to determine descriptive variables: age, if eight (8) pre-selected blood alcohol concentration, reported first year of alcohol drinking, reported number of alcohol drink i n g days thirty days prior to assessment, in the previous m o v i n g violations, reckless driv i n g violations, a l c ohol-related violations, and reported m otor vehicle a c c i ­ dents of a specific con v i c t e d drinking driver have a r e l a t i o n ­ ship to the assessment of the level of p r o b l e m classification 5 as r e flected by the driver's global score on the MortimerFilkins Test. Delimitations 1. Onl y those drivers who were convicted of operating under the influence of intoxicating liquor 54th-B District Court of Michigan, (OUIL) by the East Lansing, Michigan, and s u b s e q u e n t l y o r d e r e d to undergo substance abuse assessment at the court p r o b a t i o n office were eligible for inclusion in the sample. 2. O n l y drivers convicted of OUIL age twenty-five (25) years old and under were included in e ligibility for inclusion in the sample. 3. Onl y those drivers arrested and convicted of OUIL after April 1, 1983, but before Ma y 1, 1984 were eligible for inclusion in the sample. 4. Onl y those drivers convicted of OUIL drawn from the sample who had a v a ilable all pr e s e l e c t e d descriptive variables w ere used in the statistical analysis. 5. The conclusion s reached b y this study are r e p r e ­ sentative of this s e l ected sample only, and as such cannot be g eneralized to the popul a t i o n of drinking drivers as a whole. Limitations 1. The qualifications of the assessing probation officer and the q u a l i t y of the assessment process were not 6 the subject of investigation in this study. 2. Due to the M i c higan 54th-B District Court r e s t r i c ­ tions on client confidentiality, contact wit h the individual offenders was not permitted. 3. There is some natural police s electivity in arrest situations w h i c h varies b y department and individual police officer, and this s e l e c t i v i t y m a y be extended to the judicial systems while in its p r o c e s s i n g of eac h individual subject. this bias is recognized, it is not dealt Thus with in this study. 4. in Due the to s e l ected the limited sample, the dat a for varia t i o n s although it is number no of attempt was on the basis recognized that subjects made available to analyze of sex of the subject, such information could be valuable. 5. agency The capable records without However, it records could of to the is sample. avoid the availability of of p r o v i d i n g undue have By that of the s t r e n gthened limiting introduction w i t h the assessment was information vio l a t i o n recognized subjects the of a use interview technique, the confindentiality. of the new to from organizational client data limited multiple agency representativeness to one agency variable so as associated a variable difficult to m e a s u r e was avoided. 6. Due to limitations on the a v a i lability of subjects it was not p r a c t i c a l to est a b l i s h a control population w h i c h w o u l d have str e n g t h e n e d the interpretation of the data. 7 7. Due to limitations on data collection, the influence of drugs other than alcohol or drug interactions w i t h alcohol on driving b e h a v i o r was not a focus of this study. Basic Assumptions 1. It is assumed that responses to questions of a self-report nature b y the subjects were truthful and unbiased as has b een e s t a b l i s h e d b y other r e s e a r c h studies. 2. It is assumed that all analysis of b lood alcohol concentrations of those drivers arrested and s u b s e quently convicted of OUIL was con d u c t e d b y trained per s o n n e l using equipment m e e t i n g s t a ndard requirements 3. for proper use. It is assumed that all information available from the M i c higan S e c r e t a r y of State's driver's record file was as accurate and up to date as feasible for each driver included in the sample drawn for s tatistical analysis. 4. It is assumed that a l t hough the Mortimer-Filkins Test asks specific questions ref e r r i n g to prior arrests for b o t h driv i n g under the influence of intoxicating liquor and reckless d r i v i n g (Interview questions 39 and 45) for the purpose of scor i n g toward a c l a s sification of prob l e m drinking behavior, that these two items do not alone c o n ­ tribute s i g n i f i c a n t l y to the total score anymore than any other item used in the b e h a v i o r classification. 8 Op e r a t i o n a l Definitions 1. Mortimer-Filkins Safety R e s e a r c h Institute, Procedures Test - also known as the Highway U n i v e r s i t y of Michigan, for I d e n t ifying Prob l e m Drinkers, used to i d e n t i f y p r o b l e m drinkers. 2. Court is a test 9 Global Score - refers here to the sum of all values to all r e sponses to the questions of the MortimerFilkins T e s t . ’*’*"* 3. Subgroups as defi n e d b y the global score on the M o r t i m e r - F i l k i n s Test a c c ording to the level of prob l e m classification. a) Social Drinker - a drinker w i t h a score of less than 60 on the M o r t i m e r - F i l k i n s Test.'*'"*' b) E x c essive Drinker - a drinker w i t h a score of 60 to 85 on the M o r t i m e r - F i l k i n s Test. c) Prob l e m Drinker - a drinker w i t h a score of 85 and above on the M o r t i m e r - F i l k i n s 4. refers 12 test. B lood Alco h o l C o n c entration 13 - used b y most states to a s t a n d a r d i z e d m e a s u r i n g system w h i c h measures the weight of alcohol per volume of blood. per 100 millil i t e r s of b lood known as The blood alcohol "percentage by weight." Michigan uses grams of alcohol per 100 ml. Examples: 120 mg. alcohol/100 ml. blood .120 g/100 ml. Results in 12% blood alcohol concentration weight/volume 9 5. Driving Record - the o f f icial re c o r d as maint a i n e d by the Michigan Department of the S e c r e t a r y of State. Organization of the Study In Chapter I an introduction to the p r o b l e m is discussed. Chapter II is a re view of the literature related to b o t h drinking drivers and c h aracteristics of youthful drinking behav i o r important to the study, as w e l l as the Mortimer-Filkins Test. Chapter III defines the population, s a m p l i n g design, and methodology. C hapter IV presents the analysis of the m a j o r hypotheses by use of appropriate statistical tests. Chapter V contains the summary, recommendations, findings, conclusions, and discussion for further research. 10 Footnotes Sam Yaksich Jr., "The Tip of the I c e b e r g — Alcohol's Involvement in Fatal C r a s h e s ," Journal of Traffic Safety Education X X X , 1, (October, 1982) 23-24 2 Rudolf G. Mortimer, et al., "Psychometric Identification of Problem Drinkers," Quarterly Journal of Studies on Alcohol 34, (1973). 1333-1334. 3 Ibid 4 Aubrey W e n d l i n g and Bohdan Kolody. "An Evaluation of the M o r t i m er-Filkins Test as a Pre d i c t o r of A l c o h o l--Impaired Driving Recidivism, Journal of Studies on Alcohol 43, 7, (1982) 751. 5 Rudolf G. Mortimer, et al., "Psychometric Identification of Problem Drinkers," Q u a r t e r l y Journal of Studies on Alcohol 34, (1973), 1334; Me l v i n L. Selzer, Fred E. Vanosdall, and Marion Chapman, "Alcoholism in a Prob l e m Driver Group: A Field Trial of the M i c h i g a n A l c o h o l i s m Screening Test (MAST), Journal of Safety R e s e a r c h III, 4, (December, 1971), 177178; Floyd D. Smith, "Blood Alco h o l Level and Other Selected Factors as Indicators of the P r o b l e m Drinking Driver," u n ­ pu b l i s h e d Ph.D. d i s s e r t a t i o n , College of Education, Michigan State University, 1970, 63-65; A u b r e y W e n d l i n g and Bohdan Kolody, "An E v aluation of the M o r t i m e r - F i l k i n s Test as a Predictor of A l c o h o l - I m p a i r e d Driving Recidivism, Journal of Studies on Alcohol 43, 7, (1982) 765. 0 A. James McKnight, e t . al.. Y outh Alcohol Safety E d u ­ cation Criteria D e v e l o p m e n t , N a t ional H i g h w a y Traffic Safety A d m inistration (Washington, D.C.: U.S. Government Printing Office, 1979) 1.; A u b r e y W e n d l i n g and Bohdan Kolody, "An Evaluation of the M o r t i m e r - F i l k i n s Test as a Predictor of Alcoho l - I m p a i r e d Driving Recidivism, Journal of Studies on Alcohol 43, 7, (1982) 765. 7 Howard T. Blane, "Problem Drinking m Delinquent and Nondelinquent Adol e s c e n t Males, American Journal of Drug and Alcohol Abuse 9, 2, (1982-1983) 221; E dith S. L. Gomberg, "The Young Male Alcoholic: A Pilot Study," Journal of Studies on Alcohol 43, 7, (1982),; Robert A. Zucker and Robert B. Noll, "Precursors and Developmental Influences on Drinking and Alcoholism: E t i o l o g y from a L o n g i t u d i n a l Perspective," In Alcohol and H e a l t h M o n o g r a p h 1; Alcohol Consumption and Related P r o b l e m s , (U.S. Department of Health and Human Services, Washington, D.C., 1982), 289. 11 Q David J. Armor and J. M i c h a e l Polich, "Measurement of Alcohol Consumption,: In: E. M a n s e l l Pattison and Edward Kaufman, Encyclopedic H a n d b o o k of A l c o h o l i s m (Gardner Press, New York, 1982) 72-80; J. V a l l e y Rachal, et al., "Alcohol Use Among Youth," In: A l c o h o l and Hea l t h M o n o g r a p h 1: Alcohol Consumption and Related Problems (U.S. Department of Health and Human Services, W a s h i n g t o n D.C., 1982) 59-61. g M.W. Kerlan, et al.. Court Procedures for Identifying Problem Drinkers Volume I : M a n u a l , N a t ional H i g h w a y Traffic Safety Administration (Washington, D.C., 1971) p i. 10Burton Zung, "Factor S t ructure of the M i c higan Alcohol Screeening Test, Journal of Studies on Alcohol 39, 1, (1978), 56. J. S. Lower, R. G. Mortimer, and L. D. F i l k i n s , Court Procedures for Identifying P r o b l e m Drinkers Volume 3: Scoring K e y s , National H i g h w a y Traffic Sa f e t y A d m i n i s t r a t i o n (Washington, D.C., 1971), 7. 12 T, . , Ibid 13 14 Ibid Committee on M e d i c o l e g a l Problems, A m e rican Medical Association, Alcohol and the Impaired Driver: A Manual on the Medicolegal Aspects of C h e m i c a l Tests for Intoxication (American Medical Association, Chicago, IL, 1968) p. XIII. Chapter II L i t e r a t u r e Review Introduction Studies concerned w i t h e f f e ctiveness of h i g h w a y traffic safety problems have been hampered b y the lack of w e l l designed evaluation methods. behavior, As in other disciplines s t u d y i n g human high w a y traffic safety specialists obs e r v i n g driving behav i o r find that it cannot be ea s i l y m a n i p u l a t e d into e x p e r i m e n t a l - c o n t r o l groups. Further c o m p l i c a t i n g the e v a l u ­ ation of highway traffic safety programs has been the r e c o g ­ nition that more than one set of variables m a y be c onfounding the outcome at any given time . of confidence in the results Furthermore, Consequently, the degree is often limited. h i g h w a y traffic safety evalu a t i o n methods commonly utilize traffic accidents and traffic violations as crite r i a for outcome measures. However, the detection of traffic violations by law enforcement per s o n n e l are in­ frequent, and a traffic accident represents rare event. an even more Studies have shown that not all accidents traffic violations and appear on official traffic records. Quite often, only those of a more serious nature are reported.'*' Consequent l y , t h e s e c r i t e r i a are not the best suited for the detection of any subtle change that ma y result from an effective or ineffective program. evaluation methods In addition, are effected by a driv i n g environment w h i c h is not 12 13 static, but rather r e presents a dynamic, ever-changing e n ­ vironment for w h i c h exact e x p e r i m e n t a l conditions cannot be replicated. Therefore, it has b een d i f ficult to find agreement on the conclusions r e a c h e d by h i g h w a y traffic safety studies b ecause they have often to provide confidence lacked sufficient in the results. evaluative designs At most these studies should be viewed as p r e l i m i n a r y investigations in need of further refinement. The studies r e v i e w e d in this chapter represent those considered to have c o n t r i b u t e d to h i g h w a y traffic safety b y their findings, and those that have been c o nducted by individuals r e c o g n i z e d for their qualifications and research abilities. A comprehensive r e v i e w of the literature on the drinking driver as a traffic p r o b l e m and d r i n k i n g behav i o r of the general p opulation y i e l d e d several studies of a pertinent nature to this investigation. These related studies and surveys have been c a t e g o r i z e d a c c ording to the following subject areas: 1) studies of the effect alcohol use has on the traffic p r o b l e m 2) studies on the drink i n g behavior of the general population, twenty-five and under Test. in p a r t i c u l a r individuals age 3) studies of the M o rtimer-Filkins 14 Studies of the Effect Alcohol Has on the Traffic Problem Investigations Various studies of A l c o h o l -Related Accidents have reported that alcohol has been e v idenced in a p p r o x i m a t e l y 50 percent of the traffic ties eac h year. fatali­ The United States Department of T r a n s p o r ­ tation's National H i g h w a y Traffic Safety A d m i n i s t r a t i o n (N H T S A ) reported thro u g h its Fatal Accident (F A R S ) that there were 51,091 persons 45,284 traffic accidents that in 1980. 2 R e porting System fatally injured in The FARS data r e p orted in a p p r o x i m a t e l y 40 percent of the accidents, evidence of alcohol involvement was found in at least one dri v e r (positive results were determined through either chemical testing or a statement by the investigating officer). a study investigating p e destrian accidents researchers in New Orleans, found that 50 percent of the pedest r i a n s been d r i nking prior to the accident. 3 In A Roberts' had re v i e w of studies found these statistics: 1. A Vermont s t u d y in the late 1960s showed that 13 percent of the drivers stopped at checkpoints d etectable b lood alcohol concentration 2. (B A C ). A C a l i f o r n i a study determined that of the drivers who had some 74 percent died in single vehicle accidents had been drinking and had an average BAC of 0.19 percent. 3. A 1959 study of single vehicle crash fatalities found 4 9 percent of the drivers had a BAC betw e e n 0.15 percent 15 and 0.05 percent, and 49 percent of the drivers had a BAC of 0.15 percent or higher. 4. A C a l i f o r n i a study of 1,251 c onsecutive highway fatalities found these results: 47 percent of the passengers, had a 58 percent of the drivers, and 36 percent of the pedestrians detectable BAC often in excess of 0.15 percent. Yaksich in 4 his review of the FARS data for 1980 that of all of the drivers found involved in fatal a c c i d e n t s , only 36.7 percent of the drivers wer e tested for b l o o d alcohol levels. He went on to state the findings showed that from the tested drivers it was e s t a b l i s h e d that 68 percent had p o s i t i v e b lood alcohol levels w i t h over 51.7 percent having a A d ditional BAC of 0.11 percent or higher. studies 5 in California, Vermont, and Michigan have e s t a b l i s h e d the high r e p r e s e n t a t i o n of alcohol i n v o l v e ­ ment by drivers in fatal crashes. These studies demonstrated that in 40 to 55 percent of the fatalities a BAC of 0.10 perc e n t or higher, large number of these drivers the driver had and a d d i t i o n a l l y that a (29 to 4 3 percent) had a BAC of 0.15 percent or higher.^ Single Vehicle Accidents Data p e r t a i n i n g to fatalities in single vehicle accidents from numerous studies seems to clearly e s t a b l i s h alcohol involvement as a c o n t ributing factor. have found that R e s earch studies 55 to 65 percent of the drivers had a positive 16 BAC of 0.10 percent or higher, and of this group 35 to 54 percent exceeded a BAC of 0.15 percent. In a recent article, 7 Dr. Sidney Cohen d i s c u s s e d the role of alcohol in single vehicle accidents. Cohen reported that various studies have found that 18 percent of the drivers to 51 percent involved in multiple vehi c l e fatalities were found to have a BAC of 0.10 percent or higher. in single vehicle accidents However, involving fatalities , 41 percent to 72 percent of the drivers have b een found to have a BAC of 0.10 percent or higher. 8 Furthermore, Reed has perso n a l l y estimated that 61 percent to 78 percent of fatally injured persons in alcohol dents are the drivers This estim a t e w o u l d seem themselves. to be in accord w ith previous data, single vehicle accidents. involved a c c i ­ e s p e c i a l l y those studying The data s t r o n g l y suggests that alcohol plays a significant role in traffic fatalities, but it w o u l d be wise to point out that the dat a ma y a c t ually underrepresent the true role of alcohol in traffic fatalities. Yaksich found that states do not u n i f o r m l y test for positive alcohol levels in drivers involved in fatalities, and that those states that test often show a higher involvement than those states that test less f r e q u e n t l y . ^ Consumption Patterns There is evidence to support the p o s i t i o n that alcohol involvement has a significant role in traffic fatalities; 9 17 however, it is a ppropriate to identify w h e t h e r these incidents are r a n d o m l y d i s t r i b u t e d in the popu l a t i o n or whether p a r ­ ticular elements of s o c i e t y are o v e r r e p r e s e n t e d b y their involvement. Studies over the last quarter cent u r y have establ i s h e d that alcohol plays an active role, at least on occasion, in the lives of a m a j o r i t y of Americans. Roberts reported that surveys of the A m e rican p opulation showed that 4 0 percent d rank beer once a week, once a week. while 25 percent d r a n k w h i s k e y at least A 1958 survey found 71 percent of New York households served some form of alcoholic b e v erage during the m o n t h studied, w h i l e a 1960 national poll d etermined that 62 percent of the p o pulation sampled drank alcohol in some form.'*'^ adults by that Cahalan reports on d r i n k i n g b e h avior among comparing the years He found in 1967 a p p r o x i m a t e l y 71 percent of adults surveyed between the ages ally, 1967 and 1979. 21 to 59 reported d r i nking at least o c c a s i o n ­ w hile in 1979 a p p r o x i m a t e l y 67 percent of adults 18 or older surveyed r e p o r t e d at least occasional drinking. The w e e k l y p u b l i c a t i o n Education W e e k on M a r c h 3, lished National Institute of Drug Abuse use among high school seniors Among those drugs r e p o r t e d was i ndicated that in 1975 (NIDA) for the years alcohol, 1982, 12 pub­ data of drug 1975 to 1981. and the results 90 percent of the seniors reported using alcohol at least once. For 1981, 93 percent of the seniors reported some familiarity w i t h alcohol. The same NIDA data reported on daily use among high school seniors 18 w h i c h was found to be in 1981. 5.7 percent in 1975 and 6.0 percent The survey concluded that the figures represent v i r t u a l l y little change in d r i n k i n g b e h a v i o r for high school 13 seniors. While consumption rates have not changed dr a s t i c a l l y in the recent past, there are a number of r e l a t i v e .implications that can be made to the d r i n k i n g driver problem. one study in the United States that found Department of T r a nsportation 75 percent of the drivers driving after drinking. 14 Reed cited surveyed reported Y a k s i c h cited Fatal Accident Reporting System data on the d i s t r i b u t i o n of BAC among tested drivers. 15 (See Table 1, page 19 ). Studies of Young Driver and A l c o h o l - R e l a t e d Driving The data suggests that y o u n g drivers in fatal crashes w here a low BAC was to Yaksich. involved according The data further d e m o n strates of the BAC above 0.20 b e l o n g e d to drivers The data also suggests that drivers that 77.7 percent aged 20 to 49. 50 years old or more have the least involvement w i t h alcohol Cohen, are over r e p r e s e n t e d in fatal crashes. 16 r e porting on single vehi c l e a c c i d e n t s ,'suggests that youthful drivers between the ages of 14 to 24 are at the greatest risk of involvement this and goes on to imply that is due to lack of f a m i l i a r i t y w i t h the driving task when combined wit h d r i n k i n g behavior. that drivers accidents, 25 to 50 have the and drivers Cohen also reports lowest rate 40 to 60 of single vehicle years old have the highest Table 1 BAC Levels of Tested Drivers - 1980 AGE GROUPS % of all Licensed Drivers All Drivers in Fatal Accidents Fatal Accident Drivers Tested for BAC % of all Tested % Blood Alcohol Content (BAC) .00 .01-.05 .06-.10 .11-.20 .20+ 9.8 16.4 17.2 17.8 22.5 25.6 18.0 9.0 20 - 24 11.9 21.6 24 .8 18.4 28.7 32.4 29.6 21.0 25 - 49 48.8 44 .5 43.7 38.8 38.4 34 .6 44.3 56.7 50 + 29.5 17.5 14.3 25.0 10.4 7.4 8.1 13.3 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 Under 20 TOTAL 20 17 BACs but few single vehicle accidents. In a re v i e w of alcohol and highway sa f e t y studies, Jones and Joscelyn cite results of several studies d e m o n ­ strating the scope and a g e-distribution of alcohol i n v o l v e ­ ment among traffic fatalities. 1. The results are as follows: Eighteen percent of fatally injured drivers under 20 years old had a BAC of 0.10 percent or more. 2. Fifty percent of the fatally injured drivers over 20 years old were legally intoxicated. 3. The perc e n t a g e of legally intoxicated drivers over 60 years old who were fatally injured was less than those under 60 who w e r e fatally injured. Similarily, 18 surveys of drivers r a n d o m l y stopped and checked for p o s i t i v e b lood alcohol levels w ere r e p orted b y Jones and Joscelyn. The results from a Vermont study of drivers stopped at locations where fatal crashes occurred found that 9 percent of drivers under 20 years old had been drinking, w hile 14 percent of those over 20 years old had been drinking. A similar Huntsville, Alabama, study found 4 percent of the drivers under 20 years old had a BAC of 0.03 percent or more, and 11 percent of the drivers or older had been drinking. 20 years Surveys conducted b y the National H igh w a y Transpo r t a t i o n Safety Adminis t r a t i o n during an Alcohol Safety Action Project arrived at similar conclusions with 6 percent of the under 20 years old drivers having a positive BAC of 0.05 percent or more, and of those 20 years or older, 14 percent had a BAC of 0.05 percent or more. 19 Such studies 21 have led the NHTSA to conclude that on any given weekend night, one out of ten drivers on the high w a y are legally i n t o x i c a t e d .^ Jones and Joscelyn s u m m a r i z e d their review of studies in the following manner: If in 1975 onl y drivers w i t h a BAC of 0.10 percent or more are considered, they would account for 47 percent of all fatal crashes, 11 percent of all p e r s o n a l injury accidents, and 5 percent of all p r o p e r t y damage accidents. The cost of all alcohol involved accidents in the U.S. represents a s ubstantial share of the 15.5 b i l l i o n dollars lost in 1977 t hrough all types of traffic a c c i d e n t s . 21 Demographic Studies of Drinking-Drivers A number of studies have focused on whet h e r drunken driving is randomly d i s t r i b u t e d in the driving population, or whether certain subgroups representation. are mor e e v idenced in their In a study of drivers under the influence of liquor of Transportation, (DUIL) arrested for driving for the Oregon Department Kaestner reac h e d these conclusions about DUIL offenders: 1. Sixty-six percent wer e laborers or skilled trades. 2. Thirty-four percent had no license on themselves; 25 percent of which were either s u s pended or had no license whatsoever. 3. The largest share of offenders came from towns under 10,000. 4. The average BAC was 0.23 percent. 22 S e v e nty-three percent reported having been drinking 5. in either a bar or pub l i c drinking location. 6. Ninety-three percent of the drivers reported b eing on their w a y home. 7. Fifty perc e n t of the arrests occurred on w e e k e n d nights. 8. arrests; had T hirty-five percent had one or more prior DUIL 16 percent had one or more reckless driving arrests. 9. Forty-one percent had non-dr i v i n g arrests. 10. For any type one or of drinking arrest, more dri v i n g or 40 percent had their first years ago. 58 percent non-driving drinking convictions; drinking arrest five or more 22 The Jones and Joscelyn study prepared for the NHTSA a rrived at these conclusions regarding frequency in alcohol related c r a s h e s : 1. male sex 2. age of 20 to 60 years 3. h eavy d r i n k i n g and severe drinking prob l e m 4. pref e r e n c e for beer over alcoholic beverages 5. w e e k e n d driv i n g habits 6. prior h i s t o r y The authors of drunk driving arrests. further described drivers w ith a higher than average crash risk after drinking: 1. female sex 2. y outh 3. old age (under 20 years old) (over 60 years old) 4. 23 23 light d r i n k i n g habits. In a study of DUIL offenders arrested in three mid- Michigan counties S m i t h found these data among the sample: 1. Seventy-four percent of the drivers d e m o n strated symptoms of a severe d r i nking problem. 2. The average BAC of severe p r o b l e m drinkers was greater than that of t e m p o r a r y p r o b l e m drinkers. 3. Onl y drinkers having the symptoms of severe problem drinking had a BAC in excess of 0.25 percent, but none were found w i t h a BAC of less than 0.12 percent. 4. Lower aged groups had lower BACs than did middle aged and older d r i n k e r s . 5. Higher BAC levels were p o s i t i v e l y related to an increase in the number of arrests for DUIL and diso r d e r l y conduct and hosp i t a l i z a t i o n for alcohol dependence. 24 A 1978 report to the legislature b y the C a lifornia DMV points out that estimates rang i n g from 36 percent to as high as 50 percent have bee n m ade of the alcoholic's involvement in traffic fatalities. 25 The report cites a number of significant r e s e a r c h studies that seem to s u b ­ stantiate the alcoholic's role in traffic deaths. A few studies are s u mmarized as f o l l o w s : 1. A 1962 New York City study of fatal crashes found 46 percent of the drivers had a BAC of 0.25 percent. 2. A 1966 s tudy of 72 crashes sulted in 87 fatalities in Michigan that r e ­ found half of the sample to be pre-alcoholic or alcoholic. 24 3. A 1966 San Francisco study of 208 c onsecutive traffic deaths r e p o r t e d that 37 percent of the sample had been d r i nking before death. Of this group 71 percent had a BAC of 0.15 percent or more. 4. A 1968 C a l i f o r n i a study reported that 6.5 percent of the drivers were alcoholic, and they were r esponsible for 56 percent of a l c o h o l -related accidents. 26 Landstreet r e v i e w e d one early 1 9 7 0 's Alcohol Safety Action Project (ASAP) conducted in Fairfax County, Virginia. The project s c r eened drivers by levels of alcohol impairment w i t h the intent of improving rehabilitative treatment. The ASAP for Fairfax, Virginia, found 20 percent of the screened DUIL offenders were classified as social drinkers, 50 percent as p r e p r o b l e m drinkers, drinkers or chronic a l c o h o l i c s . (rearrest) and 30 percent as p r o b l e m The rate of r e c i d i v i s m for DUIL also rises as the offender moves thro u g h the classif i c a t i o n system. 27 H i g h-Risk Driver Studies A few h i g h w a y traffic safety studies have attempted to identify subgroups from the driving p opulation as a whole believed to be at h i gh-risk of having a l cohol-related crashes. One such effort was a study conducted by the U n i ­ v ers i t y of N o r t h C a r olina Highway Safety Research Center. The goals of the study were to develop a p rediction model w h i c h could identify h i g h-risk drivers before a crash and 25 to identify a ppropriate c o s t-effective countermeasures for use w ith hig h - r i s k subgroups. 28 After a r e v i e w of the literature, the general d r i v i n g popu l a t i o n were six subgroups from identified as being at hig h - r i s k to have an alco h o l - r e l a t e d crash. These subgroups were as follows: 1. Young males, 16-20 years old 2. Young males, 21-24 years old 3. Persons p r e v i o u s l y convicted of 4. DUIL Persons w i t h 3 or more mov i n g violations 5. Persons r e c e n t l y divorced 6. Persons r e c e n t l y released from prison. The complete statement of the rationale 29 for the selection of these subgroups can be found in Chap t e r 2, Volume I of the T e c hnical Report p r e p a r e d by the U n i v e r s i t y of North C a r olina H i g h w a y Sa f e t y Research Center. However, suffice to say here that the selection was made on the basis of p r e ­ viou s l y identified d r i n k i n g - d r i v i n g b e h avior of eac h subgroup w h i c h pl a c e d them at high-risk of an alcohol- r e l a t e d crash. The data for the study was obtained from official driving records, divorce records, the criminal records of the North Carolina Department of Corrections, C a r olina traffic accidents. and a file of North The data was me r g e d by use of computer assistance to create one file containing all of the members of eac h subgroup. A p rediction m odel for the likelihood of additional alco h o l - r e l a t e d crashes within each subgroup was d e v eloped from the data file. 30 26 The study reac h e d these conclusions from an analysis of the data: 1. Predictive models can be dev e l o p e d using information available to alcohol and driver p r o g r a m a d m i n i s t r a t o r s . 2. A benefit accrues in terms of hig h e r p r e d i c t e d a l c o h o l -related crash probabilities by d e v e l o p i n g several models for individual high-risk groups over d e v e l o p i n g just one mod el for the general population as a whole. 3. The models are reasonable p r e d i c t o r s of alcohol- related crash experience risk, in terms of rank i n g subgroups by even when tested in a prospective sense of p r e d i c t i n g a one-y ear crash experience. 4. events A l c o h o l - r e l a t e d crashes are suc h low p r o b a b i l i t y in the general dri v i n g p o pulation that, even when a pe r s o n is identified w i t h a risk as m u c h as 20 times greater than average, ment the p r o b a b i l i t y of a l c o h o l - r e l a t e d c rash i n v o l v e ­ in the next year is still less than 5. Potential cost effectiveness .08. for co u n t e r m e a s u r e programs wit h limited a l cohol-related c rash red u c t i o n ability can be demonstrated b y applying them to the h igh risk s u b ­ groups identified in the models. 6. Currently, few sound evaluation d o c u m e n t i n g the true traffic safety benefits of alcohol counterm e a s u r e s are available. 31 The authors of the study concluded w i t h several r e c o m ­ mendations, two of w h i c h are cited b e l o w as a result of their significance to this dissertation study. 27 1. In applic a t i o n of the models, risk subgroups (e.g., grouping of high- the 25 percent highest risk subgroups) wit h i n a h i g h - r i s k group should be used for countermeasure implementation. This increases the number of individuals a f f ected b e y o n d that w h i c h w o u l d occur when just a single hig h - r i s k subgr o u p is used. 2. C o n s i d e r a t i o n should be given to d eveloping models d e s igned to be p r e d i c t i v e of two year alcohol-related crash probabilities. It is likely that by using this approach, h i g h - r i s k subgroups could be identified w i t h p r edictor p r o ­ b a bilities higher than those attained for the one-year period. A pe r i o d longer than two years is p r o bably not advisable beca u s e coun t e r m e a s u r e s w h i c h might be applied as a result of the m o d e l i n g outputs c h a r a c t e r i s t i c a l l y do not have an e s t i m a t e d p e r i o d of e f f e ctiveness longer than two years. 32 A l t h o u g h this study has signi f i c a n t l y contributed to the u n d e r s t a n d i n g of high-risk driving subgroups, the author's it was opinion that m u c h yet needs to be done. Additionally, Wilk i n s reports that alcoholics have 2.5 times as m a n y traffic accidents 33 viction rate of n o n - a l c o h o l i c s . and nine times the conJoscelyn, Maickel, and G o l d e n b a u m in their Department of Transportation report summ a r y reac h e d this conclusion: The Drinking Driver Control System has two extra objectives in the case of the p r o b l e m drink i n g driver. It must identify and screen the p r o b l e m drinking driver from all other d r i nking drivers. And it must ensure that he receives a sanction w h i c h will be appropriate to his m e d i c a l and psych o l o g i c a l n e e d s , if he is to be p r e v e n t e d from compulsively 28 re peating his alcohol impaired behavior. 34 The need for intervention has lead to a significant r e s e a r c h study b y Lyle D. F i l k i n s , et al. of alcohol abuse and traffic safety w h i c h sought to identify c h aracteristics of alcohol abusers w h i c h could be useful to intervention action p rior to fatal a u tomobile accidents. in W ayne County, 1969. Mic h i g a n , The study was c o nducted from J u l y , . 1967, thro u g h August, Four distinct p opulations p r o v i d e d the data base for the study . They were: a sample of individuals who had been involved in a fatal a utomobile accident; a sample of alcoholics who had bee n in treatment in Flint, Michigan; a sample c o nsisting of drivers c o nvicted of driving under the influence of in­ toxi c a t i n g liquor .(DUIL); and a sample obtained from the M i c h i g a n S e c r e t a r y of State's driving records as the M i c higan Driver Profile. The sample of drivers identified 35 involved in a fatal accident was compa r e d to the other sample populations to identify any common characteristics, known alcoholics in p a rticular the samples and known DUIL offenders. of The M i c higan Driver Profile sample repres e n t e d the driving b e h a v i o r of the average M i c higan driver w h i c h served as the control 36 group. A m ajor focus of the study was to search for the common c h aracteristics w h i c h could be useful to court systems tempting to intervene in d r i n k i n g - d r i v i n g behavior. data yiel d e d a large number of significant at­ The findings; however, only those p e r t a i n i n g to this dissertation study are cited. 29 Those significant 1. findings are s ummarized as follows: Forty-five percent of the fatalities had a BAC of 0.10 percent or higher. 2. Ages 16-25 years old were o ver-represented in accidents. 3. Fifty percent of the drivers 16-19 years old had been d r i n k i n g prior to the accident. 4. For fatalities, dence of the greatest 5. the ages 36-45 years old had e v i ­ d r i n k i n g involvement. The number of fatalities showed a significant increase over the w e e k - e n d • Onl y 24 percent of w e e k-end drivers had not been d r i n k i n g as compared to 4 3 percent d uring the week. 6. Ve h i c u l a r speed increased w i t h an increase b l o o d alcohol concentration, in and this was p a r t i c u l a r l y e v i ­ de n c e d at younger a g e s . 7. Over half of the fatalities sampled had committed a d r i v i n g vio l a t i o n p rior to the crash. 8. The number of d r i v i n g violations found to be s i g n i f i c a n t l y a s sociated wit h on record was BAC; persons wit h no v i olations were u n d e r - r e p r e s e n t e d at a BAC of 0.10 percent or higher, w hile those w i t h 4 or more violations were o v e r ­ represented . 9. A rela t i o n s h i p was establ i s h e d between prior DUIL c onvictions 10. sample was and BAC. For a BAC of 0.15 percent or higher, found to resemble the DUIL sample the fatality in prior driving 30 violations, while the lower BAC group of fatalities was less similar. 11. The DUIL sample had evidence of more traffic accidents than the f a t a l i t y sample. 12. The hig h e r BAC group, 0.15 percent or greater, had similar m e a n number of convictions for p rior DUIL offenses as did the DUIL sample. 13. C r a s h rates for the sample of alcoholics were almost twice that of the M i c h i g a n Driver Profile sample. 14. More crashes for younger alcoholics and d r i v i n g v iolations were found (under age 45); in addition, this group e v i denced mor e DUIL convictions. 15. O nly 25 perc e n t of the alcoholic sample had no r ecord of accidents or traffic violations. 16. A mong alcoholics a traffic conviction or accident was followed b y a similar such event. 17. Alcoh o l i c s who w i t h d r e w from group therapy within 3 days had the greatest number of traffic violations and accident r a t e s . 18. A co r r e l a t i o n betw e e n traffic convictions and b e h a v i o r a l d e v i a n c y was established. 19. years, Fatalities appear to p eak between ages 20-25 although at a BAC of 0.15 percent or greater the peak occured b e t w e e n ages alcoholic sample 20. 26-35 years. While the DUIL and fatalities pe a k e d between ages 36-55 years. The m ean number of crashes was highest DUIL sample, w i t h the alcoholics for the and high BAC group b eing 31 similar, while the Michi g a n Driver Profile and low BAC samples d e m o n s t r a t e d the least mean number of accidents. 37 The results of this study indicate that more serious d r i n k i n g behaviors violations are associated w i t h greater risk of traffic and accidents. The younger driver appears to be o v e r - r e p r e s e n t e d among traffic fatalities, BAC l e v e l s , and this s p e e d i n g v i olations There but at lower group evidenced the highest rates of at the time of the fatal accident. is evidence that the rates for fatal crashes peak b efore a formal diagnosis of a lcoholism is made, e m p h a s i z i n g the need for early intervention. further Additionally, those drivers w i t h the highest crash and traffic v i o lation rates appear to be the most likely to drop out of group therapy, a m e t h o d often utilized in the rehabilitation of DUIL offenders. b y the study, W h i l e numerous other conclusions were reac h e d onl y those related to this dissertation s tudy are cited ; however, for a more complete analysis the reader is r e f e r r e d to the origi n a l document. The o v e r w h e l m i n g data demon s t r a t i n g alcohol involvement in the traffic scene has generated three b road categories of countermeasures: enforcement, engineering, and education. A rev i e w of some e nforcement countermeasures will be ad d r e s s e d first. Enforcement Countermeasures Enforcement countermeasures generally rely on increased law enforcement, greater judicial concern, and changes in the 32 law by the l egislature to increase the s e v erity of the sanction applied to con v i c t e d offenders. DUIL laws are classified as either the more t r a d i t i o n a l pr e s u m p t i v e laws or the less common per se law. 3 y w a y of an abbrev i a t e d comparison, presumptive laws p lace the burden of proof on demonstrating that the driver's m a n n e r of driving was by alcohol, per se laws place the burden of proof on while indeed impaired d e m o n s t r a t i n g that the driver did operate at the p r o h i b i t e d BAC. Per se laws the vehicle p r e s u m a b l y remove the ability of the dr i v e r to argue that he possesses special abilities w h i c h a l l o w him to operate in excess of the legally p res c r i b e d limit w i t h no danger to society. A number of states have changed their laws from p r e s u m p ­ tive to per se laws. Michi g a n has begun e n f orcing a per se law w h i c h sets the p r o h i b i t i v e BAC at 0.10 as of April 1, 1983. The sanctions license suspension, viction; sanctions include m a n d a t o r y jail sentences, and s c reening for a lcoholism upon c o n ­ increase in s e v erity w i t h subsequent convictions. There are p r o b l e m s in a t t e m p t i n g to legislate away drinking drivers . The judicial system, and to some extent members of soci e t y are unw i l l i n g to mete out severe penalties, and the effects of the legislation seem to be transitory, evaporating w i t h time. M u c h has b een m ade of two foreign attempts to reduce drunk driv i n g t h r o u g h legislative effort; the British.Road Safety Act of 1967 and the S c a n d inavian drunk - d r i v i n g laws. 33 Scandinavian laws permit a BAC of 0.05 percent, amount p e r m i t t e d by most laws half the in the United States . They also permit ran d o m s t o pping of drivers to test for drunk driv i n g violations and penalties and fines are severe 10 perc ent of p e r s o n a l income). has been a two fold approach: (up to The Scandinavian effort legal and educational. The results have bee n lauded b y some and criticized by others. Wal l e r points percent, to the low rate of traffic fatalities, ten rela t e d to alcohol as p r o b a b l y attributable to the attitude toward the problem. 38 Reed reports on a study w h i c h used a time series analysis of drunk driving and traffic accidents that could not substantiate any deterrent effect 39 from S c a n d inavian l a w s . The E u r opean co u n t e r m e a s u r e parent success often cited for its a p ­ in at least t e m p o r a r i l y reducing drunk driving is the B r i t i s h Road Sa f e t y Act of 1967. the success of the p r o g r a m to its wide publicity, increased the publics' However, Reed attributes which p e r c e p t i o n of the risk of apprehension. as that ris k of b e i n g caught diminished, the effect di s a p p e a r e d and d r u n k driv i n g returned to its previous and e v e n t u a l l y e x c e e d e d it. level Similar results were also o b t ained in Can a d a du r i n g the same time period as a result of e q u i v a ­ lent legislation. Reed describes the only U.S. that p r o d u c e d the same effect; counter m e a s u r e it was conducted at L a c kland Air Force Base and p r o d u c e d stati s t i c a l l y significant results in lowering accidents and i n j u r i e s . ^ Reed reported on Alcohol Safety Action Projects w h i c h pl a c e d their greatest emphasis driver patrols. (ASAP) on increased drinking- An e v a l u a t i o n of the King County, Washi n g t o n A SAP could not e s t a b l i s h any significant change in the rate of accidents and injuries due to a l c ohol-related accidents. A M i n n e s o t a ASAP was able to e s t a b l i s h a substantial decrease in a l c o h o l - r e l a t e d fatalities during the three year operation of the p r o g r a m . ^ Jones and Joscelyn r e p orted on the results of 26 ASAPs c o n d u c t e d around the U.S. from 1972 to 1976. have pr o v e n contradictory. Evaluations One evaluator concluded that no s ign ificant effect of the projects can be demonstrated to be due to anything other than chance. In response, the N HTSA claimed that there was some evidence to support a c laim of reduced fatalities, and it went on to state that e valuations ma y be insensitive to other subtle benefits to society. 42 Reed con c l u d e d that the cost-benefit derxved f rom AS A P c o u n t e r measures does not warrant their continuation he stated that the m o n e y was p o o r l y spent. Effects of the 43 Drinking Age on Traffic Fatalities The one legal-en f o r c e m e n t countermeasure, r e d u c i n g a l c o h o l - i n v o l v e d traffic fatalities, aimed at that appears to have wo r k e d is the raising of the legal drinking age in those states that had p r e v i o u s l y lowered the drinking age. Three states, Maine, Michigan, and Vermont, have c o n ­ d ucted extensive r e s e a r c h studies w h i c h m e a s u r e d the effect 35 of the legal d r i n k i n g age on traffic fatalities. The High w a y Safety Research Institute of the U n i v e r s i t y of Michigan has been involved in the evalu a t i o n of y o u thful alcoholrelated crashes. Douglass, et al. noted an increase in auto crashes (89) during the sample p e r i o d conducted (4,600) (1972-1975) a study that and fatalities to be attributable to alcohol c o n s u m p t i o n as a result of the lowering the legal drinking age to 18. a significant The s tudy also noted that there was increase m consum p t i o n of draft beer. 44 In a later r e v i e w Douglass found that between 10 percent and 26 percent of the young drivers increase in the traffic fatalities in M i c h i g a n and Maine was d i r e c t l y attributable to a lowering of the legal d r i n k i n g age. t ablished a 2 percent in Vermont to be drinking age. among 45 increase Studies have e s ­ in youth traffic fatalities in r e s p o n s e to a lowering of the legal O t h e r c o m p a rative studies betw e e n states where the legal d r i n k i n g age was lowered and states where the legal d r i n k i n g age r e m a i n e d at status quo have p r o duced s tati s t i c a l l y s i g n i ficant increases in traffic fatalities. Conti n u i n g i n v e s t i g a t i o n b y the HSRI has further estimated that the level of a l c o h o l - r e l a t e d traffic fatalities was 17 percent higher than e x p e c t e d during the four years lowing the change in the legal drinking age. fol­ Douglass c o n ­ cluded that: Scientific r e s e a r c h on lower legal drinking ages in most places has concluded that young drivers are more likely to become involved in a l c o h o l - r e l a t e d traffic collisions. Not all places responded 36 to l o w e r i n g the drinking age in the s ame w a y .^ ° Other Variables and Youthful Traffic Accidents As was r e v i e w e d earlier in this chapter, young drivers are in general o v e r r e p r e s e n t e d in traffic fatalities lower BAC levels. at The factors r epresented in the r e l a t i o n ­ ship betw e e n y o u t h f u l drinking and traffic fatalities have been r e s e a r c h e d by numerous studies and have arrived at similar conclusions. Schuman and Pelz and others found m a n y reasons that might have caused the mor t a l i t y rate to be twice as h i g h for 18 to 20 year olds as they are for 40 year olds . Among them d riv i n g after drinking. thesis, 47 are inexperience Bishop, and in a study for his d o c toral found alcohol to be involved in a number of accidents he r e v iewed . Most often the young driver o v e r-estimated the number of drinks it would take to impair ability. 48 A 1970 s tudy of 31 fatal crashes by Boston Unive r s i t y found that in 19 single car crashes, alcohol of the deaths. The report concludes: was involved in 16 "It is also u n q u e s t i o n ­ able that the effect of low levels of alcohol are significant in young drivers in these cases . " and teenagers, 49 such as those often involved Douglass reported on c o n t radictory studies some of w h i c h suggest that academic ability, time employment, early f u l l ­ and juvenile offenses are related to crash involvement, w hile other studies have refuted the claim. In addition, other studies claim subjects have experi e n c e d 37 personal and social problems and come from lower socioeconomic levels. A l t h o u g h e v i d e n c e suggests that it is b e c oming in­ crea s i n g l y p o s s i b l e to predict what subgroup of young drivers is most likely to b e c o m e involved in an alcohol-related crash, the q u e stion remains as to what can be done to identify individuals and then alter the b e h avior pattern. Douglass reported that seve r a l studies advanced these conclusions: 1. A large number of y oung drivers w i t h multiple d riving viola t i o n s score high on the Michigan Alcohol Screening Test (a scr e e n i n g p r o c e d u r e to determine the level of p r o b l e m d r i n k i n g behavior). 2. Y outh i n c r e a s i n g l y derive information about alcohol from p e e r s . 3. Warnings fessional drivers 4. from alcoholics, celebrities, and p r o ­ have little effect on youth. The use of r a t ional education on prob l e m drinkers is likely to be ineffective. 5. Young drivers are likely to be underrepresented in arrests for DUIL. 6. Young drivers are more likely to drop out of alcohol e d u cation programs. 51 A l t h o u g h the one legal countermeasure that seems to ensure a re d u c t i o n in alcohol involvement among young drivers is raising the legal d r i nking age, there have been other proposals w h i c h limit the exposure of young drivers, as: re s t r i c t i n g the time pe r m i t t e d to drive, such and raising 38 the age for first licensing all of w h i c h w o u l d p r o b a b l y result in a crash reduction, to young drivers but at what and their families. inconvenience 52 E n g i n e e r i n g Countermeasures The b road c a t e g o r y that has received the least amount of attention as a viable c o u ntermeasure is engineering. The cost of en g i n e e r i n g changes and adaptations when initially viewed m a y appear high; a sizable savings however, the benefits represent in lives and costs of drunk-driving. incurred as a consequence The costs of e ngineering measures when p r o-rated over m a n y years w o u l d be an infinitisimally small amount to society. In his boo k Roberts comments on the feasibility of using an alcohol- s e n s i t i v e device to sniff the inside air of a vehicle to det e r m i n e the degree of sobriety of the driver. 53 a device Roberts m a y have viewed the p o tential of such in a light - h e a r t e d manner, but Jones and Joscelyn reported on such a device w i t h a more serious tone. only was a "breath sniffer" engineering devices such as: Not r e p orted on, but so were other educational testers to be used by a driver to test for one's own sobriety, and drunk driving w a r n i n g systems w h i c h flash lights or b low the horn when the driver is impaired b y alcohol. most feasible sys t e m is an automatic Perhaps the interlock system w h i c h prevents the driver from starting the vehicle. 54 39 Jones and Joscelyn also report on drugs that been tested as p o t e n t i a l "sobering up" pills. The d rug L-dopa, which is c u rrently use d to treat Parkinson's Disease, has the ability to improve perfor m a n c e b y impaired individuals; unfortunately, it.has unpleasant side effects and vomiting. For now, including nausea no such "sobering up" pill exists. There is little doubt b y those individuals 55 interested in highway traffic s a f e t y that the one countermeasure that would s u b s t a n t i a l l y reduce d e a t h and injury as a result of drunk-driving or any other cause is the use of occupant s e a t ­ belts (as of July 1, seatbelt use). 1985 Michi g a n mandates Williford, drivers and p a s s e n g e r s percent. front passenger et al. report that the number of c u r r e n t l y using seatbelts If it c ould be increased to 20 percent, estimated that 4,000 is about it is lives per year could be saved. also report that the cost of passive seatbelt would add $200 to $300 per unit, considering total v e h i c l e cost, 11 The authors interlock systems an insignificant amount when but un n e c e s s a r y if all operators chose to w e a r the p r e s e n t l y installed seatbelts. 56 E d u c a t i o n a l Countermeasures Presently, great reliance has bee n placed on a large number of programs that fall into the b road categ o r y of education. Educational programs have used mass m e d i a approaches act the d r i n k i n g - d r i v e r . academic, to c o u n t e r ­ They have also enlisted traditional as wel l as non- t r a d i t i o n a l school settings, and they have de v e l o p e d r e m edial programs to counter the drinking- 40 Most programs have met o n l y limited driver after conviction. success, or because of poor or inadequate e v a l u a t i o n can not be said to have provided any element of s u c c e s s . In a paper p r e s e n t e d to the N a t ional Conf e r e n c e of State Legislatures, education programs Marshall stated that the purp o s e of should be to create an a t mosphere in which d r i n k i n g - d r i v i n g is a s o c ially una c c e p t a b l e form of behavior. M a r shall went on to say that the sanctions to be imposed should be known b y all memb e r s of soci e t y and accepted as a general deterrence. In addition, there is a need to develop appropriate referral procedures, as r e s e a r c h to v a l idate diagnostic criteria. as well 57 Dunn stated the NHTSA's position on d e s irable c o u n t e r ­ measures for drinking-driving. He e m p h a s i z e d the need for local c o m munity action programs t h r o u g h pursuit of six major points: 1. General deterrence aimed at the m a j o r i t y of drunk drivers who are never arrested (the chance of arrest lies somewhere betw e e n 1/500 and 1/2,000). 2. C o m m u n i t y focus 3. Systems a p p roach w h i c h integrates all interested agencies education, 4. - local programs. (i.e., prosecutor, and coordinates enforcement, etc.). Financial Self-S u f f i c i e n c y - c o nvicted offenders support. 5. support. Citizen Support - e n l isting c o m m u n i t y / c i t i z e n 41 6. Education/Prevention (long term) c h a nging attitudes by soci e t y toward drinking-driving. Dunn further states: This a p p r o a c h to the d r i nking driver p r o b l e m is intended to effect the heavy (problem) drinker and at the same time, have m a x i m u m impact in det e r r i n g the less heavy (social) drinker from driving i n t o x i c a t e d .58 M any states have instituted r e m edial programs for those c o n victed of drunk driving. One such p r o g r a m prev i o u s l y alluded to was the Fairfax County, V i r g i n i a ASAP. Landstreet pointed out the need to p r o p e r l y diagnose and treat the offender in order to obtain m a x i m u m impact. He states that the premise of the p r o g r a m was that social drinkers reacted p o s i t i v e l y to license s u spension while Type drinkers) and Type III (alcoholics) II (pre-problem reac t e d n e g a t i v e l y to license s u spension and re s p o n d e d more p o s i t i v e l y to long term therapy. Social drinkers were treated w i t h a series of eight w e e k l y meetings dealing w i t h alcohol and highway safety. The p r e - p r o b l e m drinker was dealt w i t h in a series of ten w e e k l y meetings w h i c h were p a r t i a l l y didactic and p a r t i a l l y encounter. The final type, the alcoholic, was found to respond most p o s i t i v e l y to the Alcoholics Anonymous approach. ^ The state of C a l i f o r n i a r e c e n t l y tried a new approach to co n f r o n t i n g repeat DUIL offenders. lature p r e p a r e d b y Hagen, evaluated the o u t c o m e s . et al. A report to the l e g i s ­ outlined the approach and The approach r e q u i r e d drivers c o n ­ v icted of drunk driv i n g more than once to p a r t i cipate in 42 a 12-month alcohol abuse treatment program. The prog r a m included four key elements: 1. The close supervision of the p a r t i cipants through personal interviews at least e v e r y other week. 2. The need for a v a r i e t y of treatment services with capability of referral for treatment. 3. A driver m a y p a r t i c i p a t e o n l y once in four years. 4. Establish the ability to m o n i t o r all participants. 60 While the prog r a m upon e v aluation could not be shown to have proven any better than e x i s t i n g sanctions, the authors put forth several r e c o m m e ndations to improve diagnosis, selection, and assignment to treatment m o dalities were made by the a u t h o r s . Drivers con v i c t e d of d runk driv i n g for the first time were not included in the program, but were referred to the established Driver Improvement Course w h i c h includes alcohol and highway safety as a part of its curriculum. Jones and Joscelyn in their s u m m a r y and conclusions p ointed out the ASAP programs sought to integrate the prog r a m into a systems approach w h i c h t r e a t e d severe alcoholics as a different en t i t y form social drinkers. 61 The writers refer to the lack of quality eval u a t i o n techniques as the largest drawback to arriving at any c o nvincing conclusion about ASAP outcomes; furthermore, evaluated for short term effects programs are generally and not long term results. A more r e c e n t l y r e p orted on r e m e d i a l p r o g r a m is the New York State d r i nking driver p r o g r a m et al. (D D P ) cited by Williford, In 1982 a p p r o x i m a t e l y 60 percent of those convicted 43 of drunk driving in New York State p a r t i c i p a t e d in the p r o ­ gram. The prog r a m serves a dual role of p r oviding e ducational information and serving as a screening device and referral source for the more ser i o u s l y impaired drivers. The p r o g r a m is v o l u n t a r y on the part of the participants who are given information and insight into drinking-driving. The prog r a m has received strong support from m a n y of the participants who have s u ggested its expansion into p r e - l i c e n s i n g phases of high way safety education. The authors suggest that it is quite feasible that such a p r o g r a m can become part of standard high school health curriculum, of driver education. as wel l as a part 62 A new a p p roach to drinking driver education has evolved out of the NHTSA's s p o nsored Safe Performance C u r r i c u l u m tested in Georgia. Designed to be an elite example of driver educati on,the p r o g r a m focused on v i olation and accident rates. One of the p r e l i m i n a r y results reported on not c o n c l u s i v e l y as of yet) other differences, seems to demonstrate that among students rec e i v i n g the most s o p h isticated instruction have had less drunk driving arrests. evaluation awaits the ran dom groups, (although The final complete tabulation of the data between but it is hoped that the p r e l i m i n a r y data will be verifiable. 63 44 Studies on the Drinking Behavior of the General Population A number of methods are used to determine the p r evalence of d r i nking and its subsequent alcohol problems, methods 1. rates among these are: The Jellinek me t h o d w h i c h is b ased on m o r t a l i t y from liver cirrohosis. 2. The per capita met h o d dev e l o p e d b y L e d ermann . This me t h o d is popu l a r beca u s e of its simplicity. 3. Rates in clinical populations derived from agency and hospital records. 4. The com m u n i t y survey appro a c h w h i c h is b a s e d on e p i demiological methods ; there is some advantage to this method. E ach me t h o d has its subsequent drawbacks, but these are not discussed here . The onl y concern is for identifying the different m e t h o d o l o g i e s that do exist. Recently Auth and W a r h e i t r e v i e w e d studies on p r evalence rates of prob l e m d r i n k i n g and alcoholism. The authors were concerned w ith three categories of drinkers; the heavy drinkers, drinkers represent older. the abstainers, and the p r o b l e m drinkers. The prob l e m 5-10 percent of American drinkers The authors found general agreement that 18 years or alcohol users high risk to become p r o b l e m drinkers were males b e t w e e n 18 to 25 or females ages 30 to 40 who are single or d i v orced and , , . had no religious ties. 68 45 Cahalan and Room reported on the drinking problems of males age 21 to 59 and found problems were e s p e c i a l l y prevalent among the 21 to 24 year olds. unstable marital, In addition, home, They found low SES; and wor k histories to be of importance. other c h a racteristics were identified from longitudinal studies of p r o b l e m d r i n k e r s . These are: hood unhappiness, and y o u thful acting out. father's heavy drinking, child­ Caha l a n and Room d e termined that there is a definite need for more longitudinal studies. The U.S. 69 Department of He a l t h and Human Services Statistical C o m p e n d i u m on Alcohol and Health s u mmarized m a n y studies and dat a gathering reports related to d r i nking in America. and females R e viewing d r i nking statistics indicates that for males, for b o t h male heaviest d r i nking occurs between the ages of 21 to 50 years, while for females the heaviest d r i n k i n g occurs between 31 to 50 years of age. The number of r e p o r t e d abstainers the ages is lowest b e t w e e n 18 to 20 years old, while for females the smallest p e rcent age of abstainers old. for males is between ages 21 to 25 years The total sample percentages 25 percent are abstainers indicate that among males and 20 percent heavy drinkers, and for females 40 percent report b eing abstainers percent are c l a s s i f i e d as heavy drinkers. and 5 70 A review of eight national surveys covering the pe r i o d 1971 through 1979 shows that the percentage of drinkers in the four d r i nking categories of abstainer, light, moderate, and heavier r e m ained r e l a t i v e l y stable over the sampling 46 period for the total sample of b o t h male and females. Rachal and Associates 10-12, 71 found that among students, grade over 32 percent could be c o nsidered as either m o derate/ heavier drinkers or heavier drinkers. 72 Their study defined dr i nking b e h a v i o r in terms of q u a n t i t y - - f r e q u e n c y , that is the amount c o n sumed per occasion and the number of occasions per month. Young drinkers in these categories consumed alcohol at least 3 or 4 times per month. 1.85 ounces of pure ethanol day w h i c h translates The heavier drinkers (grain or bever a g e alcohol per into almost 4 drinks of 100 proof percent pure alcohol) averaged liquor per day. 73 (50 Rachal and Associates compared their data to other cros s - s e c t i o n a l studies and found comparable, r e s u l t s . The data lends credence to the concept that a s i g n i f i c a n t l y large port i o n of high school students in the Un i t e d States consume large quantities of alcoholic beverages on a routine basis. 74 The Rachal studies support the belief that 80 percent of high school youth have some experience wit h alcohol, and that the rate has s t a b i l i z e d but at a higher percentage than p r e v i o u s l y found. betw e e n ages than girls; do drink, in on boys Adolescent d r i nking increases r a p i d l y 13 to 15 and then slows down. however, and there Boys drink more 4 out of 5 tenth to twelfth grade girls is some evidence that girls are closing- in their d r i n k i n g behavior. 75 Noble r e v i e w e d several significant studies designed to e s t a b l i s h d r i n k i n g preva l e n c e rates among young people. The r e s u l t s - a r e similar to those reported p r e v i o u s l y in this chapter. Drinking rates rose r a p i d l y between 1936 and 1965 and then the rate of increase . ’rose slowly. The y found more college drinkers than high school drinkers, drinkers but this d i fference has lessened. in all parts of the country There are more except the South. The p e r c e n t a g e of y o u t h re p o r t i n g b e i n g drunk rose s i g n i f i ­ cantly betw e e n the years of intoxication. 1966 and 1975, as did the fre q u e n c y The d i s c r e p a n c y between the number of college men and women who drink is small, wit h only a 4 p e r ­ cent difference. The frequency of drink i n g and intoxication among c ollege students is higher than high school students and has risen over the past twenty-five years. There appears to be no d ifference between college and non-college young people of similar age in their drinking frequency. The ex c eption is w i t h m i l i t a r y p e rsonnel who approach d r i n k i n g rates of n e a r l y 100 percent However, for bot h males and females. y oung people d rink less reg u l a r l y than older people, but do tend to consume a larger amount on a d r i nking occasion. Schuckit found that youthful drink i n g seems to have followed a similar patt e r n as adult drinkers. W here adults drank 2 gallons per capita in 1 946,this rate had risen to 2.68 gallons per capita in 1976. He reports that 80-90 percent of the high school students have drank at least once before graduating, grade level, but and that this rate increases w i t h is similar for boys and girls. Schuckit also found that y outh have a p r eference for wine and beer 48 over hard liquor; and as for drink i n g frequency, he reports somewhere b e t w e e n 10-38 percent of the students drink once a week, and 10 p e r c e n t of b o t h boys and girls report drinking daily. The average t e e n a g e r drinks low to moderate amounts appro x i m a t e l y once a m o n t h to once a week. 77 In summary, there seems to be little argument that young people ages 25 and under drink significant amounts of alcohol w i t h a r e l a t i v e l y high rate of frequency. However, knowing the q u a n t i t y f r e q u e n c y does not define the level of d ysfunction w h i c h is indicative of an abuse problem, although studies indicate that there are common characteristics of youth who m ight be i d entified as having an abuse problem. C h a r a c t e r i s t i c s of Young Drinkers Studies have found numerous factors volved in y o u thful d r i n k i n g patterns • of first drink, rel i g i o u s preference, drinking behavior, behavior. ligious 78 p a r e n t a l attitude, appear to be i n ­ Among them are age r e l i g i o u s i t y , parental and peer group drinking Rachal and Associates report that involvement, deviance, "... re­ and school achievement dis- criminated r e l i a b l y a m o n g abstainers, users, and misusers." 79 O ther authors have r e p orted on the settings within w h i c h young pe o p l e are most behavior. likely to engage Harf o r d and Spiegler report that the most frequent adolescent d r i n k i n g s e t t i n g is the situation adult in drinking is present, s u c h as at a party. in w h i c h no These authors frequent drinkers d r i n k w i t h their p e e r s , while found infrequent 49 drinkers 80 engage in d r i n k i n g b e h a v i o r wit h others than p e e r s . Rooney has s t u d i e d the per c e i v e d differences of s t a n ­ dards for alcohol use among American youth. His sample of ne a r l y 5,000 high school seniors was drawn from public and Catholic schools in the northeast region of the United States. indicate that nearly two-thirds of The results the students who r e s p o n d e d showed approval for the use of beer and saw nearly three-quarters of their closest friends and ei g h t y percent of the students approving of the use of beer. in school as similarily In a series of questions r e garding problems r e s u l t i n g from d r i nking almost 63 percent of the respondents r e p o r t e d having at least one of the p r o ­ blems. The largest percentage, drinking sprees, 42.9 percent, occurred wit h w hile the smallest percentage, 3.7 percent, was reported for b e i n g brought before school authorities. Other categories r e p r e s e n t e d were: 15.7 percent; caused accident or injury, stopped by the police, fered w i t h p r e p a r a t i o n for class, 13.7 percent; 13.5 percent. Using m u l tiple r e gression techniques, to explain the f o llowing variances and inter- 81 Rooney was able for the number of alcohol problems by p e r c e i v e d l iberality of standards of self and references sources reg a r d i n g beer u s e : ^ Total R (1 ) close friends 0.140 (2 ) other friends 0.109 (3) father 0.110 (4) mother 0.108 (5) all independent variables 0 .155 2 R ooney concludes that "... 50 students p e r c e i v e d the greatest degree of s i m i l a r i t y of standards for beer use w i t h their close friends and exper i e n c e an increase in alcohol-related problems bey o n d the p h y s i c a l effect of the b e v erage inasm u c h as the y depart from the standards of their f r i e n d s ." As to the nature of alcohol related problems, the most t r o u b l e ­ some problems occur whe n the p e r ceived distance betw e e n itself increases individual d r i n k i n g behavior and the norms of friends. R ooney concludes that adolescents are subject to parental influences whe n long term decisions are to be made and in­ f l u enced more by peers when there is a short term immediate decis i o n to be made. Biddle, students. 83 et a l . r e p o r t e d on a survey of 14 9 m idwestern Their results showed that students drank because they either liked d r i n k i n g or refrained because they disliked drinking. Respondents also seemed less aware of the p o t e n ­ tial consequences of h eavy drinking. Adolescents again d e m o n s t r a t e d that t h e y were more likely to drink if their friends drank and less were n o n d r i n k e r s . likely to drink if their friends I ndividual drinking b e h avior is more i n ­ fluenced b y one's own p e r sonal preferences any other variable. The conclusions were that adolescent d r i n k i n g is influ e n c e d b y age, most and norms than by race, and social class, and influenced b y i n t e r nalized parental and peer pressures. 84 51 Early Drinking and Subsequent Alcohol Problems Filstead, w r i t i n g on a dolescence and alcohol, discusses the e t i o l o g y and p r e v a l e n c e of teenage alcohol use. the p r o b l e m of teenage alcoholism, About Filstead had this to say: The e t i ology of a l c o h o l i s m is not clearly established; consequently, the relationship between adolescent d r i nking and a l coholism is not clear. This has led to an ongoing debate as to the existence of adolescent alcoholism. Are there teenage alcoholics? W h i l e there is ample evidence c o ncerning the psychological, social, and i n t e r p e r ­ sonal d i s r u p t i o n en c o u n t e r e d b y adolescents who misuse alcohol, the p h y s i c a l c o n s e ­ quences of mi s u s e are minimal. Even whe n there are p h y s i o l o g i c a l consequences, adolescents o n l y r a r e l y sho w p h y sical dependence on a l c o h o l . Filstead goes on to summarize some of the significant findings of Blane and Hewitt in their data collections. He states that they found: 1. There has b ee n no change in c onsumption of teenagers betw e e n 1946-1975. 2. There are no more teenagers d r i n k i n g than p r e v i o u s l y reported. 3. Boys d rink earlier than girls and experience more problems. 4. stable, The age of first d r i nking e x perience has remained but there has bee n a trend toward earlier age of consumption. 5. There has been no shift in drunkeness or its con- sequences druing the per i o d 1946-1975. 86 52 Filstead's report on his surveys of teenage drinking found that 5 percent of hig h school students have drinking behavior similar to teenagers in treatment. Another 19 percent use alcohol in such a ma n n e r as to have e ncountered substantial problems. Filstead found that w h i l e 5 percent reported no use of alcohol, another 71 percent reported use but w ith no subsequent problems. 87 Blane r e p o r t e d on his su r v e y of the drinking behaviors of delinquent and nondel i n q u e n t adolescent males. From the results he was able to report that nonpr o b l e m drinkers drink less than p r o b l e m drinkers d i s r e g a r d i n g de l i n q u e n c y status. More p r o b l e m d r i nking delinquents perceive themselves as having a p r o b l e m than p r o b l e m d r i n k i n g nondelinquents. Delinquent p r o b l e m drinkers use m ore illicit drugs of all kinds, have fewer intact families, allowed to d rink b y parents, were less likely to be and have more social p a thology than n o n d e l i n q u e n t s . In addition, Blane r e p o r t e d that delinquent prob l e m drinkers had w i d e r social and familial pathology, more at one time and also drink more frequently, more negative consequences, family setting. suffer and achieve less in school are often one grade b e h i n d ) . delinquent p r o b l e m drinkers drink (they Blane also determined that come from a non-traditional 88 Gomberg has also studied the characteristics of young male alcoholics and has r e p orted on the findings. are consistent w i t h the findings of previous alcoholics The results studies. seem to have started d r i nking and become Younger intoxicated 53 at an e a r l y age. The y have bee n more drugs other than alcohol. family structure, social behaviors. involved w i t h illicit The y report more p a t r i a r c h a l as well as more r e b e l l i o u s n e s s and a n t i ­ Young alcoholics wil l do mor e drinking in public places and in automobiles than older diagnosed alcoholics. The younger alcoholic also r e p o r t e d more c h i l d ­ hood problems, such as h y p e r a c t i v i t y and nailbiting, which is consistent w i t h their aggressive b e h a v i o r patterns. Wilsnack, et al. 89 focused their s tudy on c h a r a c t e r i s ­ tics of young women w hose father had b een alcoholic. The researc hers were concerned w i t h a number of specific behaviors. They found that daughters of alcoholics had higher quantityf r e quency rates of drink i n g than the controls, and that this was p a r t i c u l a r i l y significant if beer consum p t i o n was the tested variable. the alcoholic's daughters reported drinking, Importantly, at least in part, problems or pressures. However, in respo n s e to p e r sonal there was no significant evidence to suggest that daughters of alcoholics differ from controls 1 4 or sexuality. - - in levels of depression, s e x -role identification, 9 0 The M o r t i m e r-Filkins Test I ntroduction The M o rtimer-Filkins Test served as the criterion measure for this study. The M o r t i m e r - F i l k i n s Test was d e ­ velo p e d under contract from the United States Department 54 of T r a nsportation National H i g h w a y Traffic Safety A d m i n i s ­ tration to the U n i v e r s i t y of M i c higan H i g h w a y Safety Research Institute during the Alcohol Safety Action Programs. test was The intended to provide a means to diagnose p r o b l e m d r i nking behavior in a popu l a t i o n of OUIL offenders and be simplistic enough to be used w i t h little prior training. The Mortim e r - F i l k i n s Test consists of a questionaire and interview w h i c h can be used s e p a r a t e l y or together (see A p p endix C) . Eac h has its own set o-f cut-off scores for d e t e r mining the level of p r o b l e m classification. the procedure recommends the use of b o t h the questionaire and interview during the assessment process. can be employed d i r e c t l y by the assessor report format. However, The questionaire or in a self- The int e r v i e w is admi n i s t e r e d d i r e c t l y by the assessor to the subject. The scoring procedure combines the sum for b o t h the questionaire and the interview to arrive at the total score used to determine the level of prob l e m drinking. Design and S tatistical Analysis Mortimer has dis c u s s e d the methods b y w h i c h the test was developed and the r e l i a b i l i t y - v a l i d i t y determined. 91 An initial literature review of studies related to the assessment of p r o b l e m d r i nking was conducted. to direct assessment procedures, for their applicability. In addition other measures were From the literature review, identified 452 55 test items were developed. The 452 items were reduced to 135 items and then further r e d u c e d to the final 58 items as a result of pilot studies. along a similar format; 245 The i n terview was developed items were reduced to 66 items. The intent of the int e r v i e w is to develop a composite picture of the subject. The final i n t e r v i e w and questionaire was then submitted to s t a t i s t i c a l analysis. A r e s earch s t u d y using an e x p e r imental group of known alcoholics and a control group were adm i n i s t e r e d the test. The statistical analysis of the r e l i a b i l i t y utilized splithalf correlation coefficients Brown formula. cor r e c t e d b y the Spearman- The results d e m o n s t r a t e d that the total score r e l i a bility was 0.976. V a l i d i t y was tested by use of point bi-serial c o r r e l a t i o n coefficients. The results d e m o n strated a total score c o e f f icient of 0.917. q u e s t i o n a i r e - i n t e r v i e w w e i g h t e d sum was 0.921. A combined 92 A l l i e d R e s e a r c h Studies M o r timer r e p orted on field studies utilizing the MortimerFilkins Test. The e x t e r n a l c r i t e r i a used to determine the level of p r o b l e m c l a s s i f i c a t i o n were b l o o d alcohol c o n c e n ­ tration at the time of arrest, prior arrests the number of prior a l c o h o l - r e l a t e d offenses. for DUIL, W hile these criteria are recog n i z e d as b e i n g less than perfect, are the best available. The studies cut-off scores could be lowered, and they indicated that the but at the cost of increasing 56 the number of false positives among the p r o b l e m drinkers. 93 M o r t i m e r states that the rationale for reduc i n g the c u t ­ off scores is b ased on the belief that 50 percent of the DUIL p o p u l a t i o n are p r o b l e m drinkers. Mo r timer has r e p o r t e d on the use of the M o r t i m er-Filkins Test. 94 limited r e s ponse to the He states that there have been thousands of individuals who have undergone the assessment w i t h s a t i s f a c t o r y results. One major study c o m pared b lood alcohol conce n t r a t i o n at the time of arrest, prior DUIL offenses, and total score on the test to determine the p r o b a b i l i t y of a subsequent r e c i d i v i s m b y the driver. Results demo n s t r a t e d that prior DUIL offenses were as good as b lood alcohol c o n ­ c e ntration and the total score on the test, or all three indicators taken together at p r e d i c t i n g r e c i d i v i s m (rearrest). The study indicated that for individuals without p r i o r DUIL offenses, the total score on the test was a sufficient pre- d ictor of recidivism. The study utilized 9,900 cases. 95 S u p p l e m e n t a r y Information P r e sented for the Assessor The p r o cedure is co n s t r u c t e d in a manner w h i c h assists in assessing the subject's relevant background. sheet A tally is p r o vided to record b l o o d alcohol concentration, various types of driv i n g offenses, motor vehicle accidents, In addition, reckless driv i n g offenses, as well as the criminal history. the questionaire and interview assess p e r s o n a l i t y 57 traits and drinking b e h a v i o r p e rtinent to the assessment. The data is meant as an adjunct to the total score to assist in developing a more complete subject profile. As part of the contract to develop the M o r t i m er-Filkins Test, three instructional volumes were prepared. In Volume I, the M a n u a l , the authors r e f e r r e d to the value of utilizing blood alcohol conce n t r a t i o n du r i n g the assessment. They report that it w o u l d be d i fficult to obtain a b l o o d alcohol concentration of 0.10 percent and be a m o d e r a t e drinker, likewise b lood alcohol c o n c entrations of 0.25 percent or higher are indicative of p r o b l e m drinking. Various 96 factors known to influence b l o o d alcohol c o n ­ centration at any given, time, on driving are cited. as w ell as the effect of alcohol The authors present a strong case to support the p o s ition that b l o o d alcohol c o n c entration is an indicator of p r o b l e m drinking. Volume I reviews 97 the r a t ionale for uti l i z i n g the s u b ­ ject's driving record as part of the assessment of the level of p r o b l e m drinking. 1. The reasons are as follows: Multiple arrests for DUIL are strong indicators of p r o b l e m drinking behavior. 2. The number of motor vehi c l e accidents, altho u g h the number of m inor accidents m a y not be included in the official record, 3. indicates a p r o b l e m w i t h alcohol. The number of m o v i n g violations m a y indicate poor driving behaviors r e s u l t i n g from the influence of alcohol. 58 Suspensions, revocations, and r e s t r i c t e d licenses r e sulting from d r i n k i n g - d r i v i n g are indicative of prob l e m drinking. The authors emphasize the v alue of the driving record as a good source of indicators of p r o b l e m drinking. V olume II, Supplemental R e a d i n g s , p r o vides for the selection of questionaire items, 98 the rationale as w e l l as a re v i e w of the body's response to alcohol and alcohol abuse. Volume III, Scoring K e y s , provides the instruction for scoring and interpreting the results of the assessment. Mortimer has r e s ponded to reported dif f i c u l t i e s the test w i t h suggestions in scoring for si m p l i f y i n g the process. He also cautions against using a sho r t e n e d vers i o n of the procedures without jeopardizing its v a l i d i t y and reliability. Regardless of its w i d e s p r e a d application, Filkins Test has not been with o u t its critics. 99 the MortimerA study conducted by W e n d l i n g and Kolody s t r o n g l y c r i t i c i z e d the value of the test in pred i c t i n g rates of r e c i d i v i s m among convicted a l c o h o l-impaired drivers. A st a t i s t i c a l analysis of 1,740 cases concluded that the rates of error in p r e d i c t i n g r e c i d i v i s m from the total score on the test w ere unacceptable. "Using the total score, for example, to predict r e ­ cidivism one would i ncorrectly c l a s s i f y 19.3 percent of the non-recidivist in order to identify c o r r e c t l y only 29.3 percent of the recidivists."'*'^ In addition, W e n d l i n g and K o l o d y have identified other predictors useful in d eveloping a p r e d i c t i o n model for r e ­ cidivism. They used multiple regre s s i o n to analyze twelve 59 variables. From this analysis the authors concluded that the first five variables were the most significant p r edictor variables. These variables were: 1. Number of prior suspensions or revocations. 2. Number of p rior s uspension or r evocation violations. 3. Number of arrests 4. Number of prior DUIL offenses. 5. Number of n on-alcohol rela t e d arrests.^'*' for DUIL or impaired driving. W e n d l i n g and Ko l o d y state this conclusion. basis of the data herein, there is no apparent reason, the exception of general arrest history, driving record variables In these data, with to search be y o n d for p r e d i c t i o n of recidivism. past driv i n g b e h avior clearly is the best p r edictor of future driving behavior." This c onclusion of Mortimer, "On the Filkins, 102 is not inconsistent w i t h recommendations et al. who have simil a r i l y suggested the inherent value of r e viewing the driv i n g record as a source of indicators of p r o b l e m drinking. Summary W i t h its inception at the beginnings the M o rtimer-Filkins of the ASAP years, Test has pr o v e n to be a valuable a s s e s s ­ ment tool for court p e r s o n n e l charged wit h d e t e r mining prob l e m drink i n g among con v i c t e d DUIL offenders. for the M o r t i m e r-Filkins Test its w a y into the repertoire Further credibility occured as it found of a s sessing agencies other than 60 those associated w i t h the courts. The choice of this test is b ased on its d e m o n s t r a t e d r e l i a b i l i t y and validity, an important factor to field p e r s o n n e l in their e v e r y d a y a p p l i ­ cation of the test. The test remains a significant c o n t r i ­ butor to highway traf f i c sa f e t y efforts in combating drinking- drivers. High w a y sa f e t y r e s e a r c h studies have upheld the concept that alcohol plays a significant role in accident causation. Roberts in his b o o k devotes an entire chapter to alcohol and accidents. He concludes that the a l c o h o l -related accident p r o b l e m is serious and m e d i c a l the alcoholic, knowledge can help, but for c e s s a t i o n of d r i n k i n g wil l not n e c e s sarily lower his accident r i s k immediately. 64 A Cali f o r n i a D e partment of Motor Vehicle report c o n ­ cludes i.e., "The evidence . . . seems clear that alcoholism, excessive and continuous use of alcohol, s i g n ificantly to traffic accidents. moreover, contributes Its relative contribution, seems to be greater for accidents of greater •4. -.65 severity. The U n i v e r s i t y of M i c h i g a n H i g h w a y Safety Research Institute's s tudy of the effect of lowering the drinking age to eighteen in M i c h i g a n concluded that when 18 to 20 year olds could l e g a l l y d rink alcohol sales went up, so did the rate of accidents among this group. and 66 After a r e v i e w of a v a r i e t y of Highway Safety a p p r o c h e s , W aller found that, silver bullet." "It is clear that as of yet we have no W a l l e r finds it unrealistic to submit all 61 alcoholics to some remedial traffic p r o g r a m since o nly a few will actually be involved in fatal accidents, wo u l d not warrant the overall cost; however, and this e ducational programs toward changing public attitude m a y be more pro4 ductive. * - ■ 6 7 For those drivers involved in d r u n k driv i n g a r r e s t s , it is reasonable to assume they wil l fall within one of the three types of classifications c o m m o n l y used: drinkers, excessive, or p r o b l e m drinkers. social The data suggests that of these groups the p r o b l e m drinker is most r epresented in the statistics, 25 e s p e c i a l l y for drivers over the age of (this is not to i mply that p r o b l e m drinkers do not exist at a younger age). Yet, on the other hand, alcohol is often involved in single vehicle accidents w h i c h most often claims the lives of young d r i v e r s . The one u n q uestionable statement that can be made about the d r i n k i n g - d r i v i n g p r o b l e m is that to resp o n d it has failed to even the most vigorous attempts to m o d i f y it for any sustained period of time to date. Elaborate attempts to control drinki n g - d r i v i n g b y increased enforcement have only served to drain large amounts of m o n e y from public funds, while p r o v i d i n g marginal or little to no effect. This pes s i m i s m is not to deny that a d r i n k i n g - d r i v i n g prob l e m exists, it is unmanageable, but rather it serves as a stimulus to seek newer and more innovative efforts. or to concede that Only a s u stained effort can impact on d runk driving. 62 Footnotes Evaluation of M otor Vehicle Records." Journal of Traffic Safety E d u cation XXXII, 2, (January, 1985), p. 12. 2 Sam Yaksich Jr. "The Tip of the I c e b e r g - - A l c o h o l 1s Involvement in Fatal Crashes," Journal of Traffic Safety E d u ­ cation XXX, 1 (October, 1982) p. 23. 3 R.D. Blomberg, "A Compa r i s o n of Alcohol Involvement in Pedestrian Causalties," Journal of Traffic Safety E d u c a t i o n , XXX, (January, 1983) p. 22. 4 Hyman J. Roberts, The Causes, Ecology, and Prevention of Traffic A c c i d e n t s . (Charles C. Thomas Books, Springfield, I L . , 1971) p. 422-424 . ^Sam Yaks i c h Jr., p. 23. g Ralph K. Jones and Kent B. Joscelyn, Alcohol and Highway Safety 1978; A Review of the State of Knowledge, Summary V o l u m e , (Highway Saf e t y R e s e a r c h Institute, Ann Arbor, Mich., 1978) p. 8 . 7 Ibid g Sidney Cohen, "The One Vehi c l e Accident," Journal of Traffic Safety E d u c a t i o n , X XIX (July, 1982) p. 13. Q 'David S. Reed, "Drinking and Driving Programs" In: Alcohol and Health M o n o g r a p h 3: Prevention, Intervention and Treatment: Concerns and M o d e l s , (U. S. Department of Health and Human Services, Washington, D.C., 1982) p. 67. ^Sam Yaksich Jr., ^Hyman J. Roberts, p. p. 24. 422 . 12 Don S. Cahalan, "Epidemiology: Alcohol Use in American Society," In: E.L. Gomberg, H.R. White, and J.A. Carpenter e d s ., Alcohol, Science, and Society R e v i s i t e d , (University of Michigan Press, Ann Arbor, Mich., 1982). p. 100. 13 "Rates of Teenage Drug Use S h i fting Downward But New Study Says Problem Still Severe." Education W e e k , March 3, 1982, p. 1. 63 14 David S. ^Sam Reed, p. 67. Yaksich Jr., p. 23. 1 6 Ibid 17 18 Sidney Cohen, Ralph K. p. 13. Jones and Kent B. Joscelyn, p. 23. 19 Ibid tv. •J 20 13, "The War Against Drunk Drivers" 1982, p. 34. 21 Ralph K. Jones and Kent B. N e w s w e e k , September Joscelyn, pp. 65-66. 22 Noel Kaestner, Oregon Study of Drink i n g D r i v e r s , (Oregon Department of Transportation, M o t o r Vehicles Division, Salem, Oregon, 1969), p. 2. 23 Ralph K. Jones and Kent B. Joscelyn, p. 65. 24 Floyd D. Smith, Blood Alcohol L evel and Other S elected Factors as Indicators of the P r o b l e m Drinking D r i v e r . (unpublished Ph.D. dissertation, Coll e g e of Education, M i c higan State University, 1970), pp. 63-65. 25 Mar y K. Janke, Raymond C. Peck, and Dell R. Dreyer. M e d i c a l l y Impaired Drivers: An E v a l u a t i o n of C alifornia P o l i c y . (California Department of M o t o r Vehicles, S a cramento CA, 1978) pp. 2-20. 2 6 I b i d . , pp. 2-21-2-25. 27 Barent F. Landstreet, The D r i nking Driver; The A lcohol Safety Action P r o g r a m s . (Charles C. Thomas Books, Springfield, I L , 1977), pp. 59-61. ?8 ' John H. Lacey, J. Richard Stewart, and Forrest M. Council, Techniques for P redicting H i g h - R i s k Drivers for Alcohol C o u n t e r m e a s u r e s . (University of N o r t h C a r olina H igh w a y Safety Research Center, Chapel Hill, N.C., 1979) p . 7. 64 29 I b i d ., p . 13 . 3 0 t, ,c I b i d ., p . 15. "^Ibid. , pp. 32 113-114. Ibid 33 Rodney H. Wilkins, The Hidden Alcoholxc m (Elek Science, London, 1974), p. 45. Practice. 34 Kent B. Joscelyn, Roger P. Marikel, and Donald M. Goldenbaum. A Survey of Court Procedures for Handling P r o ­ b l e m Drinkers C o n v i c t e d of Driving W h i l e Intoxicated Summ a r y V o l u m e . (Institute for R e s earch in Public Safety, Indiana University, Bloomington, Indiana, 1971) p. 6 . 35 Lyle D. F i l k i n s , et a l . Alcohol Abuse and Traffic Safety; A Study of Fatalities, DWI Offenders, Alcoholics, and C o u r t - R e l a t e d Treatment A p p r o a c h e s . (Highway Safety R e s earch Institute, U n i v e r s i t y of Michigan, Ann Arbor, MI, 1970), pp. 1-2. 36 , . . Ibid ^ I b i d . , pp. 5-18. 38 Patricia F. Waller, Alcohol C o u n t e r m e a s u r e s . Safety Research Center, U n i v e r s i t y of N o r t h Carolina, Hill, N.C., 1976), p. 7. David S. Reed, p. (Highway Chapel 70. 4 0 I b i d ., p. 69. 4 "*"Ibid., pp. 42 Ralph K. 4 ^David S. 44 69-70. Jones and Kent B. Reed, p. Joscelyn, pp. 44-45. 85. Richard L. Douglass and Jay Alan Freedman, AlcoholRelated Causalties and Alcohol Beverage Market Response to Beverage Alcohol A v a i l a b i l i t y Policies in Michigan, Volume I, (Highway Safety R e s earch Institute, U n i v e r s i t y of Michigan, Ann Arbor, MI, 1977), p. 48. 65 45 Richard L. Douglass, "Youth, Alcohol, and Traffic Accidents." In: Alcohol and H e a l t h M o n o g r a p h 4 , Special Populations I s s u e s . (U.S. Department of H e a l t h and Human Services, Washington, D . C . , 1982), p. 209. ^ I b i d . , p. 212 . 47 S.H. Schuman, et al., "Young Male Drivers: Impulse Expression, Accidents, and Violations." Journal of the A m e r i ­ can Medical A s s o c i a t i o n , 200, (1967), pp. 1026-1030. 48 Richard W. Bishop, Case Studies of One Car Accidents Involving Young D r i v e r s , (unpublished Ph.D. dissertation, New York University, 1962), p. 9. 49 Investigation of 31 Fatal Autom o b i l e Accidents: Final Report, Boston U n i v e r s i t y , (U.S. Department of Transportation, National High w a y Safety Institute, Washington, D . C . , 1970), p. 13. 50 Richard L. "^Ibid., pp. Douglass, p. 203. 204-207. 52 W i l l i a m R. Williford, T i m o t h y P. Williams, and Robert P. Lillis, "Drunk Driving--the Prob l e m and Under 21 Year Old Driver." Journal of Traffic Sa f e t y E d ucation XXX, (January, 1983), p. 9. 53 54 Hyman J. Roberts, p. 4 28. Ralph K. Jones and Kent B. 56W i l l i a m R. Williford, Robert P. Lillis, p. 9. Joscelyn, pp. 49-50. T i m o t h y P. Williams, and 57 Robert L. Marshall, "Putting the Brakes on Drunk Driving." Journal of Traffic Safety E d ucation XXX, (January, 1983), pp. 12-13. CQ LeRoy W. Dunn, "NHTSA's H i g h w a y Safety Program P r i o r i ­ ties: How Traffic Safety Educators Can p a r t icipate," Journal of Traffic Safety Education XXIX, 4, (July, 1982), p. 8 . 66 59 Barent F. Landstreet, pp. 65-69. 60 Roger E. Hagen, et al.. An Evaluation of Alcohol Abuse Treatment as an A l t e r native to Driver License Suspension or R e v o c a t i o n , (California Department of Motor Vehicles, Sacramento, CA, 1978), p. 1. 61 Ralph K. Jones and Kent B. 62 W i l l i a m R. Williford, Robert P. Lillis, p. 8 . Joscelyn, pp. 67-68. Timothy P. Williams, and Jack K. Weaver, "The NHTSA Safe Performance Driver D e m o n s t r a t i o n / E v a l u a t i o n Project," Journal of Traffic Safety Education XXX, 1, (October, 1982), p. 6 . 64 pp. Hyman J. ^Mary 2-25. 66 67 K. Roberts, Janke, Richard L. p. 4 30. Raymond C. Peck, and Dell R. D r e y e r , Douglass and Jay Alan Freedman, Patricia F. Waller, p. p. 104. 8. 68 Joanne B. A u t h and George J. W a r h e i t . "Estimating The Prevalence of P r o b l e m Drinking and Alcoh o l i s m in the General Population: An O v e r v i e w of E p i d e m i ological Studies." Alcohol, Health, and Research W o r l d 7, 2 (Winter 1982-1983), pp. 17-18. 69 Don Cahalan and Robin Room. Problem Drinking Among A merican M e n . (College and Univ e r s i t y Press, New Haven, Conn., 1974), pp. 1-250. 70 . U.S. Department of Health and Human Services. Statistical C o m p e n d i u m on Alcohol and H e a l t h , 1981, p. . First 41. 7 1 I b i d ., p. 47. 72 J. V a l l e y Rachal, et al., "Alcohol Use Among Youth," I n : Alcohol and Hea l t h M o n o g r a p h 1: Alcohol Consumption and Related P r o b l e m s . (U.S. Department of He a l t h and Human Services, W a s h i n g t o n D.C., 1982), p. 64. 73 Ibid. , p . 65 . 74 I b i d ., p . 6 6 . 78 I b i d . , p . 69 . 76 Ernest P. Noble. "Special Population Groups," In: Ernest P. Noble (ed.) Alcohol and He a l t h from the Sec r e t a r y of He a l t h Education and W e l f a r e , (U.S. Government Printing Office, Washington, D.C., 1978), pp. 43-67. 77 M.A. Shuckit, "Alcohol and Youth," A l c o h o l i s m 1, 13 (1979). 7ft J. V a l l e y Rachal, 79 I b i d . , pp. et al., pp. Advances in 78-79. 91-93. 80 Thomas C. H a r f o r d and Danielle L. Spiegler, "En­ vi r o n mental Influences in A dolescent Drinking," In: Alcohol and Hea l t h M o n o g r a p h 4: Special Population I s s u e s , (U.S. Department of He a l t h and Human Services, Washington, D . C ., 1982), p. 175. 81 James F. Rooney, "Perceived Differences of Standards for Alcohol Use A m o n g American Youth," Journal of Studies on Alcohol 43, 11, (1982), pp. 1075-1076. 82 I b i d . , p. 1077. 83 I b i d . , pp. 84 B.J. Determinants They Do, and A l c o h o l . 41, 1079-1080. Biddle, B.J. Bank, and M.M. Marlin, "Social of A d olescent D r i n k i n g — What They Think, What What I T hink and Do," Journal of Studies on 3, (1980), pp. 234-238. 85 W i l l i a m J. Filstead, "Adolescences and Alcohol," In: E. Mansell Pattison and Edward Kaufman (e d s .), Encyclopedic Handb o o k of A l c o h o l i s m , (Gardiner Press, New York, N.Y., 1982), pp. 770-771. 8 6 I b i d . , p. 772. 87 I b i d . , p . 77 3. 68 Q Q Howard T. Blane, "Problem Drinking in Delinquent and Non-del i n q u e n t Adole s c e n t Males," Journal of Drug and Alcohol Abuse 9, 2, (1982-1983), pp. 228-229. 89 E d i t h S. L. Gomberg, "Young Male Alcoholics: A Pilot Study," Journal of Studies on Alcohol 43, 7, (1982) pp. 695-698. 90 Sharon C. Wilsnack, Judith L. Barnes, and Carol S. Benson, "Psychosocial C h a r a c t e r i s t i c of W omen wit h Alcoholic Fathers," In: M. G a l anter (ed.) Currents in A lcoholism VII (Grune and Stratton, New York, N.Y., 1980), pp. 217-220. 91 Rudolf G. Mortimer, et al., "Psychometric I d e n t i f i ­ cation of Problem Drinkers," Q u a r t e r l y Journal of Studies on Alco h o l 34, (April, 1973), p. 1333. 93 Rudolf G. Mortimer, "The M ortimer-Filkins Test for I d e n t ifying P r o b l e m - - D r i n k i n g Drivers," Proceedings 2nd n a t i o n a l DWI C o n f e r e n c e , (AAA Foundation for Traffic Safety, Falls Church, V A . , 1979), p. 59. 94 Ibid. 9 ~*Ibid. , p . 60 . 96 M.W. Kerlan, et a l . Court Procedures for Identifying P r o b l e m Drinkers Volume I: Manual. (U.S. Department of T r a n s p o r t a t i o n National H i g h w a y Traffic Safety Administration, Washington, D.C., 1971), p. 30. 9 ^ I b i d . , p . 32 . 98 99 I b i d ., p . 33. Rudolf G. Mortimer, pp. 60-61. '*'99Au b r e y W e n d l i n g and Bohdan Kolody, "An Evaluation of the M o r t i m e r - F i l k i n s Test as a Predictor of AlcoholImpaired Driving Recidivism," Journal of Studies on Alcohol 43, 7, (1982), p. 756. "*"9 '*'Ibid. , p . 763 . 102 I b i d ., p . 7 65 . Chapter III Design and M e t h o d o l o g y During the d e v e l o p m e n t of this study it became apparent that a number of factors, the sampling process the data. d i f ficult to control, w o u l d influence and the s t r ength of the analysis of Limitations on the ava i l a b i l i t y of subject for the sample made it im p r a c t i c a l to est a b l i s h a control population could be assumed to have str e n g t h e n e d the interpretation of the data. Additionally, it was not p r actical to obtain subjects from other agencies However, for a mor e r e p resentative sample. this s e l e c t e d sample, to be a unique population, while it has the potential fitted the defined purpose of this study as stated in Chap t e r I. Therefore, this study should be viewed as a p r e l i m i n a r y effort to be used in the assessment of d r i n k i n g - d r i v i n g problems among young convicted OUIL offenders and is not m eant to replace current practices in use by a s s essing agencies. The Population The p o p u l a t i o n of this s tudy did include all drivers who had been (1 ) a r r e s t e d and sub s e q u e n t l y convicted by the Michigan 54th-B District Court, East Lansing, Michigan, of operating under the influence of intoxicating liquor, and (2 ) did undergo p r e - s e n t e n c i n g assessment for prob l e m drinking by the p r o b a t i o n office of said court, were of age twenty - f i v e years old or less. 69 and (3) 70 Sampling Design Data Source Data for this ex post facto study were collected from the organiz a t i o n a l records of a selected sample of young drinking drivers a r r e s t e d and convicted at East Lansing, Michigan, after April 1, 1983, but before May 1, 1984. The sample c o n sisted of the first one hundred twenty-six individual drinki n g - d r i v e r s was available, for w h o m all relevant information and wh o met the age limitations of the study. The complete p o p u l a t i o n from w h i c h the sample was drawn consisted of three h u n d r e d forty-eight OUIL offenders who had undergone assessment at the p r obation office of the 54th-B District Court of Michigan. All information relat i v e to each offender was obtained by one pro b a t i o n offi c e r who had been assigned to perform all assessments on OUIL offenders. score for the M o r t i m e r - F i l k i n s Test, Data included the global a copy of the driving record of the offender at the time of assessment, alcohol conce n t r a t i o n at the time of arrest, the offender. Other the age of information included the reported first year of alcohol drinking, drinking days the blood and the reported number of alcohol in the previous thirty days prior to assessment. The global score on the Mortimer-Filkins Test served to divide the sample into three subgroups the level of p r o b l e m classification, variable. as defined by and acted as the dependent The r e m a i n i n g data variables served as the 71 in the data analysis. independent v a r iables The dependent variable was p a i r e d w i t h the independent variables either singly or in c o m b i n a t i o n for the purp o s e of statistical analysis. Due to r e s t r i c t i o n s by the M i c h i g a n 54th-B District Court on client confidentiality, the court p r obation officer reviewed the o r g a n i z a t i o n a l records and selected the first one hundred t w e n t y - s i x individuals c o nvicted as OUIL offenders who met the r e q u i r e m e n t s for inclusion in the selected sample. The probation offi c e r recor d e d all p e r tinent information related to the global score on the Mortim e r - F i l k i n s Test and the independent variables, including a copy of the o f ­ fenders driving r e c o r d at the time of assessment. When the first one hund r e d twen t y - s i x records m e e t i n g the r e q u i r e ­ ments were obtained, the pro b a t i o n officer turned over the records to the inve s t i g a t o r for coding p rior to analysis. Data Interpretation The driv i n g records were examined b y the investigator in order to record inform a t i o n relevant to the independent variables of m o v i n g violations, reckless driving violations, accidents. Viola t i o n s alco h o l - r e l a t e d violations, and r e p orted m otor vehicle for alcohol- r e l a t e d offenses or r e c k ­ less driving offenses wer e not included under the independent variable mo v i n g violations, so as not to be counted more than once in the s t a t i s t i c a l analysis. Mo v i n g violations were simply counted w i t h no attempt to assign a weighted 72 value to the type of offense. Motor vehicle accidents, likewise, were simply counted and summed for each individual offender as they occur r e d w i t h no attempt to weight the nature or type of accident. The remaining independent variables were recorded as they appear in the organiz a t i o n a l records. The blood alcohol concentration was recorded as the percent of weight b y volume reported at the time of arrest. For simplicity the age of the individual offender at the time of assessment was recorded without any reference to exact chronological age in terms of years and months. The self-reported year when drinking began was recorded in years without reference to exact number of m o n t h s . days in the previous The number of alcohol drinking thirty days prior to the assessment was recorded as the number of self-reported days. last two independent variables, These were obtained from the Office of Substance Abuse Services Areawide Data Evaluation Systems (ADES) form w h i c h is completed as part of the total assessment process. All information for b o t h the dependent and independent variables was n u m e r i c a l l y coded in such a manner that it could be entered into the m a i nframe Cyber 750 computer at the Michigan State University's Computer Services Center for subsequent data analysis. The data analysis was conducted by use of the 1982 revi s e d version of the Statistical Package for the Social Sciences Evanston, Illinois. as developed at Northwestern University, A file was created to include all 73 values for the dep e n d e n t and independent variables for each of the selected one hund r e d twent y - s i x individual OUIL o f ­ fenders . Due to the nature of the selected sample, the hypotheses tested could not be g e n e r a l i z e d t o .a larger population. Major sample biases exist for the man n e r in w h i c h the sample was drawn, as wel l as the nature of the type of individual arrested. The offenders mad e their law enforcement contact in a m e d i u m - s i z e d college c o m m u n i t y w i t h a greater emphasis on OUIL arrests than can be t y p i c a l l y e x p ected in other communities. In addition, the offender m a y be expected to be more r e p r e s e n t a t i v e of college students than n o n ­ college students due to the s t u d y having been conducted in East Lansing, is located. Michigan, At the time of this study M i c h i g a n State U n i ­ versity had an enrol l m e n t Therefore, w h e r e Michigan State Unive r s i t y the c onclusions in excess of 40,000 students. of the study wil l be descriptive of this specific sample and not the popul a t i o n as a whole. The Null Hypotheses The f o l lowing are statements of the three m ajor h y p o ­ theses and their subhy p o t h e s e s that wil l be studied in the null form; i.e., s t a t i n g that no significant relationship exists between the stated variables H 1: o for s tatistical purposes: There is no signif i c a n t difference between the mean scores for e ach independent variable and the level of problem 74 classification as d e t e r m i n e d by the global score on the M o rtimer-Filkins Test. These subhypotheses are: a. Age of the individual. b. Blood alcohol concentration at the time of arrest c. Reported nu m b e r of alcohol d r i n k i n g years. d. The r e p orted number of alcohol d r i n k i n g days in the previous thirty days prior to assessment. H q 2: e. Moving violations. f. A l c o h o l - r e l a t e d violations. g. Reckless driv i n g violations. h. Reported number of m otor vehicle accidents. There is no rel a t i o n s h i p between the global score on the Mortim e r - F i l k i n s Test and the f o llowing d escriptive independent variables. These subhypotheses are: a. Age of the individual. b. Blood alcohol concentration at the time of arrest c. Reported number of alcohol d r i n k i n g years. d. The r e p orted number of alcohol d r i n k i n g days the previous thirty days prior to assessment. e. Moving violations. f. A l c o h o l - r e l a t e d violations. g. Reckless d r i v i n g violations. h. Reported number of motor vehicle accidents. in H q 3: The global score on the M o r t i m er-Filkins Test obtained during assessment can not be p r e d i c t e d b y the following descriptive independent variables when taken either singly or in combination apriori. These subhypotheses are: a. Age of the individual. b. Blood alcohol concentration at the time of arrest. c. Reported number of alcohol d r i n k i n g years. d. The r e p orted number of alcohol d r i n k i n g days in the previous thirty days prior to assement. e. Mov i n g violations. f. A l c o h o l - r e l a t e d violations. g. Reckless d r i v i n g violations. h. Reported number of m otor vehicle accidents. Symbolically a . b . — X lb c. *lc d. e *2a X la *ld . X le f. X lf g- " x ig h. *ih = = = = = = = *2b *2c *2d *2e x 2f X 2g *2 h = = = = = = = = X 3a *3b *3c *3d X 3e X 3f X 3g *3h where X independent = social drinkers variable independent = excessive drinker variable 76 X3 independent = prob l e m drinker variable H 2: o r a,mf - rb,mf ~ r c,mf ~ r d,mf ~ re,mf - r f,mf ~ r g,mf - r h,mf where r = the Pearson C orrelation Coefficient mf = global score on Mortimer-Filkins Test a b = age = b l o o d alcohol concentration c = r e p o r t e d number of alcohol drinking years d = r e p o r t e d number of alcohol drinking days in the previous thirty days p rior to assessment e = m o v i n g violations f = a l c o h o l - r e l a t e d violations g = reckless driv i n g violations h = r e p o r t e d humber of m otor vehicle accidents H 3; o y = a + bx a + bx. + . . . + bx. + e b h where y = p r e d i c t e d global score on Mortimer Filkins Test a = intercept b = slope x = independent variable (constant) % e = error 77 Methods of Analysis The data o b t a i n e d were analyzed by using the following: a two-tailed analysis of variance, coefficient, H q 1: Pearson's correlation and m u l t i p l e r egression analyses. A two ta i l e d analysis of variance was employed to determine the s i g n i ficance of the difference between the means for all independent variables and the classification level of a social drinker, drinker. excessive drinker, and prob l e m A .05 level of significance was used to determine the acceptance or r e j e c t i o n of this hypothesis. Hq 2 : A Pearson's c orrelation coefficient was employed to determine the r e l a t i o n s h i p betw e e n the global score on the Morti m e r - F i l k i n s Test and each of the descriptive pendent variables. to the relationship; inde­ No level of significance was attached however, the descriptive independent variables were ran k orde r e d b y the strength of their r e l a t i o n ­ ship to the global score on the Mortimer-Filkins H q 3: Test. M u l t i p l e regre s s i o n analysis was employed to determine the r e g r e s s i o n coefficient used to predict the global score on the Mortim e r - F i l k i n s Test. The descriptive independent v a riables wer e entered into the equation on the basis of their abil i t y to explain the variance global score. in the O n l y those d escriptive independent variables that were able to m a i n t a i n a .05 significance level for 78 the r egression c oefficient remained in the equation. Report of Analysis The results of the analysis of the data are p r esented in Chap t e r IV in w r i t t e n and tabular form. Each hypothesis was analyzed i n d e p e n d e n t l y in order to generate the various data. The tables r e present the analysis of variance for the dependent variable, or level of p r o b l e m classification, and eac h of the independent variables, the relationship of the independent variables to the dependent variable, and the results of a m u l t i p l e regression analysis. data g e nerated dur i n g the analysis, A d ditional but not the subject of the various h y p o t h e s e s , are presented in the appendices A and B of the study. 79 Footnotes Norman H. Nie, Hadlai C. Hull, and Marija Norusis, SPSS Introductory Guide: Basic Statistics and O p e r a t i o n s , (McGraw-Hill Book Company, Chicago, IL., 1982), pp. 1-167. Chapter IV Analysis of the Data The results of the analysis of data are presented in this chapter. The analysis of the following statistics are p r e s e n t e d and discussed: lj the difference in the mean scores for e ach of the independent variables and the level of p r o b l e m classif i c a t i o n as d etermined b y the global score on the M o r t i m e r - F i l k i n s Test, 2) the relationship of the global score on the Morti m e r - F i l k i n s Test to each of the eight (8) independent variables, of the eight (8) 3) the ability of each independent variables to explain the variance in the global score on the M o r t i m er-Filkins Test. other derived relationships In addition, are pre s e n t e d to describe the sample population. All of the original 126 individual convicted OUIL offenders met the requirements for inclusion in the study and were used in the collection and analysis of the data. Table 2 presents the c omposition of the selected sample b y level of p r o b l e m c l a ssification as deter m i n e d by the global score on the M o rtimer-Filkins Test. Difference in the Mean Scores for Each Independent Variable and the Level of Problem Classification The following independent variables of the null hypothesis H q 1 were tested for the d i fference in the computed mean 80 81 Table 2 C o m p o s i t i o n of the s e l e c t e d sample by level of p r o b l e m c l a s s i f i c a t i o n as d e t e r m i n e d b y the global score on the Mortim e r - F i l k i n s Test Social Drinkers N umber of Cases % Relative F r equency % Cumul a t i v e Frequency 113 Excessive Drinkers 10 Problem Drinkers Total 3 126 100.0 89.7 7.9 2.4 89.7 97.6 100.0 82 (8) independent variables and score for each of the eight the level of p r o b l e m c l a ssification by using a two-tailed analysis of variance method. The independent variables were examined w i t h respect to three levels of p r o b l e m c l a s s i ­ fication and the mea n scores o b t a i n e d for each of the eight (8) independent variables. A. The results are: A g e --In com p a r i n g the mea n score of ages for each level of prob l e m c l a s s i f i c a t i o n a 2.05 F-statistic was o b ­ tained w i t h an a s s o c i a t e d s i g n i ficance level of .13. This value was not s ufficient to demons t r a t e significance at the .05 level. The null hypothesis of no significant d i f ­ ference in the mean age level of p r o b l e m classification was sustained. heading: The results An analysis are p r e s e n t e d in Table 3 under the of varia n c e of the mean age for each level of prob l e m classification. B. Blood A l c o h o l C o n c e n t r a t i o n --In comparing the mean score of b lood alcohol c o n c entration at the time of arrest for each level of p r o b l e m classification a .48 _Fstatistic was o b t a i n e d w i t h an a s sociated significance level of .62. This value was not sufficient to demonstrate s i g n i ­ ficance at the .05 level. The null hypothesis of no s i g n i ­ ficant difference in the mean b lood alcohol concentration of each level of p r o b l e m cl a s s i f i c a t i o n was sustained. The results are p r e s e n t e d in Table 4 under the heading: An analysis of v a r i a n c e of the mea n b lood alcohol concentration for each level of p r o b l e m classification. Table 3 An analysis of variance of the mean age for each level of problem classification Level of Problem Classification Between Groups Social Drinkers Excessive Drinkers Problem Drinkers Within Groups Note: Sum of Squares Degrees of Freedom Mean Squares 2 7.90 15.79 F Ratio Significance 426.04 2.06 38.50 8.0 472.54 F=2.72 for a significance level of 123 .05 3.84 .13 Table 4 An analysis of variance of the mean blood alcohol concentration for each level of problem classification Level of Problem Classification Between Groups Social Drinkers Excessive Drinkers Problem Drinkers Within Groups Note: Sum of Squares Degrees of Freedom 8.31 2 Mean Squares F Ratio Significance 4 .16 960.92 86.90 .48 8.67 1056.49 F=2.72 for a significance level of 123 .05 8.59 .62 C. 85 The Reported Number of Alcohol Drinking Y e a r s -- In comparing the m ean score of the r e p orted number of alcohol d r i nking years for eac h level of p r o b l e m classification a 3.92 F-statistic was obtained w i t h an a s sociated significa nce level of .02. This value was sufficient to demonstrate significance at the .05 level. significant diff e r e n c e The null hypothesis in the means classification was rejected. in Table 5 under the heading: of no for each level of p r o b l e m The results are presented An analysis of variance of the means for the r e p o r t e d number of years of alcohol drinking for e a c h level of p r o b l e m classification. D. The Number of Alcohol Drinking Days in the Previous Thirty Days Prior to A s s e s s m e n t --In comparing the mean scores for the number of alcohol drinking days in the previous th i r t y days prior to assessment for each level of prob l e m c l a ssification at 3.40 F-statistic was obtained w i t h an assoc i a t e d significance level of .04. to demonstrate s i g n i ficance of this at the .05 level. was rejected. the heading: independent variable The null hypothesis di fference in the means This value was sufficient of no significant for each level of p r o b l e m c l a ssification The results are p r esented in Table 6 under An analysis of variance of the mean number of repor t e d alcohol d r i nking days in the previous thirty days prior to assessment. E. Moving V i o l a t i o n s --When the mean number of moving v i olations for the three levels of p r o b l e m classification was compared, a .71 F-statistic was obtained w i t h an associated Table 5 An Analysis of variance of the means for the reported number of years of alcohol drinking for each level of problem classification Level of Problem Classification Between Groups Social Drinkers Sum of Squares 30.10 78.40 Problem Drinkers 24.67 Note: Mean Squares 2 15.05 F Ratio Significance 368.99 Excessive Drinkers Within Groups Degrees of Freedom 472.06 3.92 123 F=2.72 for a significance level of .05 3.84 .02 Table 6 An analysis of variance of the mean number of reported alcohol drinking days in the previous thirty days prior to assessment for each level of problem classification Level of Problem Classification Sum of Squares Between Groups 101.17 Social Drinkers 192.40 Problem Drinkers 140.67 Note: ¥ = 2.12 2 Mean Squares F Ratio Significance 3.40 .04 50.58 1494 .57 Excessive Drinkers Within Groups Degrees of Freedom 1827.63 123 for a significance level of .05 14.86 significance level of .49. 88 This value was not sufficient to demonstrate significance at the .05 level. hypothesis of no significant difference of m o v i n g violations was sustained. the heading: in the mean number for each level of prob l e m classification The results are p r e sented in table 7 under An analysis of variance of the mean number of mo v i n g violations F. The null for each level of prob l e m classification. A l c o h o l - R e l a t e d V i o l a t i o n s --In comparing the mean number of a l c o h o l - r e l a t e d violations classification a 20.36 for each level of p r o b l e m F-statistic was obtained w i t h an associated significance level of .01. This value was s u f f i ­ cient to d emonstrate significance at the null hypothesis .05 level. of no significant difference The in the mean number of a l c o h o l - r e l a t e d violations of each level of p r o b l e m classification was rejected. The results are pre s e n t e d in Table 8 under the heading: An analysis of variance of the mea n number of alco h o l - r e l a t e d violations for each level of p r o b l e m classification. G. Reckless Driving V i o l a t i o n s --When the mean number of reckless driving violations classification was compared, for each level of prob l e m a 2.51 F-statistic was obtained w i t h an associated significance level of .09. This value was not sufficient to demonstrate significance at the level. .05 The null hypothesis of no significant difference in mean number of reckless driving violation for each level of problem classif i c a t i o n was sustained. presented in Table 9 under the heading: The results are An analysis of Table 7 An analysis of variance of the mean number of moving violations for each level of problem classification Level of Problem Classification Social Drinkers Excessive Drinkers Problem Drinkers Note: ¥ = 2.12 Degrees of Freedom 8.63 Between Groups Within Groups Sum of Squares 2 Mean Squares F Ratio Significance 4.31 680.53 62.50 .71 2.67 745.70 for a significance level of 123 .05 6.06 .49 Table 8 An analysis of variance of the mean number of alcohol-related violations for each level of problem classification Level of Problem Classification Sum of Squares Between Groups 2.36 Social Drinkers 1.96 Excessive Drinkers 4.50 Problem Drinkers Within Groups Note: Degrees of Freedom 2 Mean Squares F=2.72 for a significance level of 123 .05 Significance 20.36 >.01 1.18 .67 7.13 F Ratio .06 Table 9 An analysis of variance of the mean number of reckless driving violations for each level of problem classification Level of Problem Classification Sum of Squares Between Groups .08 Social Drinkers .99 Excessive Drinkers .90 Problem Drinkers 0.00 Within Groups 1.89 Note: Degrees of Freedom 2 Mean Squares F Ratio .04 2.51 123 F=2.72 for a significance level of .05 Significance .02 .09 variance of the mean 92 of number reckless driving v iolations for each level of p r o b l e m classification. H. Reported Number of Motor Vehicle A c c i d e n t s --In comparing the mean nu m b e r of reported motor vehicle accidents for eac h level of p r o b l e m classification a 10.13 F-statistic was o b t ained w i t h an a ssociated significance level of This value the .05 the mean each was level. analysis v ehicle The number level results sufficient of are of null of presented variance m otor of in Table the each 10 mea n level s i g n i ficance no was under in accidents for of rejected. the number of prob l e m at diffe r e n c e vehicle classification of for demonstrate hypothesis reported problem accidents to >.01. The heading: reported An motor classification. The Relationship of the Dependent Variable, the M o r t i m er-Filkins Test, to the Eight Independent Variables The f o l lowing independent variables of the null hypotheis H q 2 w ere tested for their relationship to the global score on the M o r t i m e r - F i l k i n s Test. A. Age B. Blood C. The D. The Alcohol Nu m b e r R e p orted Concen t r a t i o n of Reported Number of at the Alcohol Alcohol Time of Drinking Drinking Mov i n g Violations F. A l c o h o l - R e l a t e d Violations Years Days the Previous Thirty Days Prior to Assessment E. Arrest in Table 10 An analysis of variance of the mean number of reported motor vehicle accidents for each level of problem classification Level of Problem Classification Between Groups Social Drinkers Sum Squares Mean Squares F Ratio Significance 3.24 28.32 6.40 Problem Drinkers 4.67 Note: 2 6.49 Excessive Drinkers Within Groups Degrees of Freedom 39.39 10.13 123 F=2.72 for a significance level of .05 .32 >.01 G. 94 Reckless Driving Violations H. Reported Number of Motor Vehicle Accidents. To determine the relationship between the dependent variable, (8) the M o rtimer-Filkins Test, and each of the eight independent variables the Pearson method of det e r m i n g the c orrelation coefficient was employed. (See A p p e n d i x D for further d iscussion of the Pearson C orrelation method). The results of the Pearson Correlation C oefficient statistics are pre s e n t e d in Table 11 under the heading: The r e l a t i o n s h i p of each of the eight to the d e pendent variable, (8) independent variables the Mortimer-Filkins Test, by rank order of r e a l t i o n s h i p . The eight (8) independent variables are rank ordered according to their rel a t i o n s h i p to the dependent variable. In addition to the correlation coefficient also presents (r), three other relevant statistics: Table 11 1) the s i g n i f i ­ cance of r, 2) the p r o b a b i l i t y of obtaining that specific value of r, and 3) the r squared value. Bloomers and Forsyth have cautioned against the r results too freely: sent relationships i n t e rpreting 1) correlation coefficients r e p r e ­ for a specific sample, 2) correlation coefficients should not be compared to each other, and 3) correlation coefficients do not clearly e s tablish causaleffect relationships. W i t h these caveats stated, the results of the Pearson Correl a t i o n test are reviewed.'*' The largest value of r was obtained from the r e l a t i o n ­ ship of the global score on the Mortimer Filkins Test and Table 11 The relationship of each of the eight (8) independent variables to the dependent variable, the Mortimer-Filkins Test, b y rank order of relationship Variable Pearsons Correlation Coefficient r Significance of r Probability r r Squared Motor vehicle accidents .36 >.01 >.01 .13 Alcohol-related violations .33 > .01 > .01 .11 >.01 >.01 .06 Number of reported alcohol drinking days in the previous thirty days prior to assessment .24 Reported number of alcohol drinking years .15 .05 .10 .02 Blood alcohol concentration .10 .14 .28 .01 Reckless driving violations .10 .14 .29 .01 Number of moving violations .04 .34 .68 >.01 Age .20 .01 .03 .04 96 the number of m otor vehicle accidents r e p orted this value was .36 w h i c h represents the global score. r value are 12.7 percent of the varia n c e in The significance and p r o b i l i t y of this >.01 and >.01 respectively, indicating that the element of chance alone of o b taining this result was v ery small. The second largest value of r obtained represents the r e l a t ionship b e t w e e n the global score on the MortimerFilkins Test and the number of r e p orted alco h o l - r e l a t e d violations. This value was .33. The amount of v a r iance in the Morti m e r - F i l k i n s Test global score exp l a i n e d b y this r e l a tionship is 10.7 percent. r value The significance of this is >.01, w i t h a p r o b a b i l i t y for the r value of >.01, b o t h statistics indicate that the influence of chance alone was small. Three other relationships had a s i g n i ficance level for r of 1. .05 or less. An r value of These were: .24 for the relationship of the global score on the M o rtimer-Filkins Test to the number of r e p orted alcohol d r i nking days in the previous thirty days p rior to assessment. 2. An r value of .15 for the relationship of the global score on the M o rtimer-Filkins Test to the repor t e d number of alcohol d r i nking y e a r s . 3. An r value of -.20 for the relationship of the global score on the Mortimer-Filkins the individual. Test and the age of 97 The r e maining three independent variables had values of r w i t h a significance level greater than 1. .05, they were: The rel a t i o n s h i p of the global score on the M o r t i m e r Filkins Test to b l o o d alcohol concentration at the time of arrest p r o d u c e d an r value of 2. .10. The rel a t i o n s h i p of the global score on the M o r t i m e r Filkins Test to the number of reckless driving violations p r o d u c e d an r value of 3. .10. The rel a t i o n s h i p of the global score on the M o r t i m e r Filkins Test to the nu m b e r of mo v i n g violations d e m o n s t r a t e d and r value of .04. The Pearson C o r r e l a t i o n Coefficient not only p r o v i d e d for a deter m i n a t i o n of the r e l a t ionship between the MortimerFilkins Test and e ach of the eight but (8) independent variables, in addition the m e t h o d assisted in the testing of the third hypothesis. was useful Know i n g the rank order of the rel a t i o n s h i p in d e v e l o p i n g a multiple regression model. The Development of a Prediction Model by Use of Multiple Regression Technique The r e m aining m a j o r statistical technique to be employed was the application of m u l t i p l e regression technique to the data in order to obtain a prediction m odel for the d e ­ pendent variable, Test, the global score on the Mortimer-Filkins from the eight (8) independent variables. The following independent variables of the null hypothes H q 3 were tested for their ability to form a p r ediction m o d e l 98 of the global score on the Mortimer-Filkins Test. a. Age b. Blood Alcohol C o n c entration at the Time of Arrest c. Reported Number of Alcohol Drinking Years d. The Reported Number of Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment e. Mo v i n g Violations f. A l c o h o l - R e l a t e d Violations g. Reckless Driving Violations h. Reported Number of Motor Vehicle Accidents. To derive this model from multi p l e linear regression the p r ocedures of the Statistical Package for the Social Sciences (SPSS) w ere employed. The met h o d used least squares to m i n i m i z e the distance between the observed data and the p r e d i c t i o n line to generate the model. The SPSS procedure for d e v e l o p i n g the r egression line requires the selection of a dependent variable. For this test it was the global score on the M ortimer-Filkins of the independent variables to the dependent variable. Test, and the rank ordering a c c ording to their relationship The selection of a met h o d for w h i c h the independent variables were to be entered into the equation was chosen; r e gression equation, to test this hypothesis in a multiple a stepwise method of e ntry was selected. (See A p p e n d i x D for further discussion of multiple regression p r o c e d u r e s ). The computer was prog r a m m e d to identify the global score on the M o rtimer-Filkins Test as the dependent variable 99 and to arrange the independent variables a c c ording to the rank order dete r m i n e d by the Pearson C o r r e l a t i o n Coefficient. The order of relationship to the d e p endent v a r iable was: motor vehicle accidents, a l c o h o l - r e l a t e d violations, of reported alcohol drinking days days prior to assessment, years, in the previous number thirty r e p o r t e d number of alcohol drinking blood alcohol concentration, number of mov i n g violations, reckless driv i n g violation, and age. Table 12 presents the results of this statistical p r o c e d u r e under the heading: Multiple Regression Output- - V a r i a b l e s As can be o b s erved in Table 12, in the Equation. the independent variables were entered into the equation on their a b i l i t y to explain the variance in the global score on the M o r t i m er-Filkins Test. The first independent v a r iable ente r e d was the number of m otor vehicle accidents. was removed, W h e n this v ariable's effect the next independent v a r iable to be entered was a l c o h o l -related violations. As the effect of these variables was remo v e d from the equation, variable age was entered. the independent W hen the effects of these three independent variables were removed, the final independent variable to be entered was the r e p orted number of alcohol drinking years. The final independent v a r iable entered caused the equation to r each the default limit, and the selection process stopped. The remaining four independent variables: of reported alcohol drinking days days prior to assessment, in the previous The number thirty b l o o d alcohol concentration, reckless Table 12 Multiple linear regression output: variables (Variables in the equation) in the equation Multiple r = .54731 r square = .29955 Adjusted r square = .27639 Standard error = 16.58594 Variable Reported Motor Vehicle Accidents B Standard Error of B Beta F Significance of F 8.62 2.53 .27 11.60 > .01 Alcohol-related Violations 15.82 5.69 .22 7.73 > .01 Age -4.01 .95 -.41 17.90 >.01 3.27 .95 .34 11.75 >.01 101.57 17.74 32.79 >.01 Reported Number of Alcohol Drinking Years Constant Where: 1) B represents the slope, 2) Beta represents the standardized value of B, 3) Constant represents the intercept of the predicted line. 101 driv i n g violations, and mo v i n g violations cantly increase the e x p lained variance could not s i g n i f i ­ in the global score on the M o rtimer-Filkins Test given the default values of the F statistic at 3.84 w ith an assoc i a t e d p r o b a b i l i t y of .05. Table 13 presents these variables Variables Not in the Equation, correlation coefficient, under the heading: along w i t h their part i a l F statistic, and the significance of the F statistic. As can be observed, none of the variables not in the equation d e m o n s t r a t e d an F statistic or exceed the equation default Table limit. large en o u g h to meet Also p r e s e n t e d in 13 is the t o l erance for the variables not in the equation r e p r e s e n t i n g the p o r t i o n of the v a r i a b i l i t y in the global score not e x plained b y the other variables. table, Table 14, presents The rem a i n i n g additional r e g r e s s i o n statistics a ssociated w i t h the d evelopment of the p r e d i c t i o n model. Further s tatistical procedures were u t i lized to test the appropriateness of the r egression model, these techniques are pr e s e n t e d in A p p e n d i x D as the analysis of the residuals. Other Relationships Derived from the Analysis of the Data In evaluating the data to e s t a b l i s h the r e l a t ionship of the variables to the three study, (3) m a j o r hypotheses of this other r e l a tionships were deri v e d w h i c h are d escriptive of the selected sample. in the a p p p e n d i c e s . These relationships are pr e s e n t e d Appen d i x A presents the variable mean Table 13 Multiple linear regression output: variables not in the equation (Variables not in the equation) Variable Partial Correlation Coefficient Beta In F Significance of F .10 .57 1.22 .27 Blood Alcohol Concentration .84 .10 .60 1.17 .28 Reckless Driving Violations .06 .60 .69 .41 -.14 .57 2.24 .14 • .09 00 o Number of Reported Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment Minimum Tolerance Where: 1. 2. 3. -.13 i i Moving Violations Partial Correlation Coefficient represents the relationship between the dependent variable and the independent variable when all effects of other independent > variables are removed. Minimum Tolerance represents the smallest amount of unexplained v ariability in the equation when the independent variable is added to those independent variables in the equation. Beta In represents the standardized regression coefficient if that independent variable were added to the equation. 103 Table 14 A dditional Regression Statistics Statistic Value Multiple r .55 r Squared .30 A d j u s t e d r squared .28 Standard error of Equation 16.59 104 scores for each level of p r o b l e m classification, as well as the sample mean score and standard error for eac h variable. A p p e n d i x B presents the Pearson C orrelation C oefficient ob t a i n e d for the various combination of independent variables to e a c h other. However, a limited number of the significant findings are d i s cussed in this chapter. combinations w i t h a significance level of Independent variable .05 or less are di s c u s s e d below. The following combinations of independent variables d e m o n s t r a t e d a significance of .05 or less for the Pearson Co r r e l a t i o n Coefficient: 1. Age and the reported number of alcohol d r i n k i n g 2. Age and the number of moving violations. 3. The repor t e d number of alcohol d r i n k i n g years years. and the number of r e p orted alcohol d r i n k i n g days in the previous thirty days prior to assessment. 4. The repor t e d number of alcohol d r i n k i n g years and the number of m o v i n g violations. 5. The repor t e d number of alcohol d r i n k i n g years and the number of a l c o h o l -related violations. 6. The repor t e d number of alcohol d r i n k i n g days the previous thirty days prior to assessment in and the number of m o v i n g violations. 7. The repor t e d number of alcohol d r i n k i n g days in the previous thirty days prior to assessment and the number of reported motor vehicle a c c i d e n t s . 8 . The number 105 of m o v i n g violations and the number of m o t o r vehi c l e 9. The number reported accidents. of m o v i n g violations and the number of a l c o h o l - r e l a t e d violations. 10. The number of a l c o h o l -related violations and the number of r e p o r t e d m o t o r vehicle accidents. 11. The num b e r of reckless driving violations and the number of r e p o r t e d m o t o r vehicle accidents. Summary The analysis of the data pre s e n t e d in this chapter provide b o t h d e s c r i p t i v e and predi c t i v e information on the selected sample of young c o nvicted OUIL offenders. of variance of the mea n scores of the eight variables independent and the level of p r o b l e m classification d e termined that the m e a n scores dr i n k i n g years, days (8) An analysis for the reported number of alcohol the number of r e p orted alcohol drinking in the p r e vious thirty days prior to assessment, number of a l c o h o l - r e l a t e d violations, the and the number of r e p orted m o t o r v e h i c l e accidents were significant at the .05 level or less. These subhypotheses of the null hypothesis 1 were r e j e c t e d on the basis of the analysis of variance. The Pearson Correl a t i o n Coefficient derived for the r e l a t ionship of the global score on the Mortimer-Filkins Test and eac h of the eight independent variables demonstrated that the r e p o r t e d number of m otor vehicle accidents, number of a l c o h o l - r e l a t e d violations, the the number of reported 106 alcohol drinking days to assessment, in the previous thirty days prior age of the individual, and the number of reported alcohol d r i n k i n g years were significant at the .05 level. The b l o o d alcohol concentration at the time of arrest, the number of reckless driv i n g violations, and the number of m o v i n g violations did not demonstrate significance at the .05 level. These subhypotheses of hypothesis 2 were sustained. A predi c t i o n m o d e l for the global score on the MortimerFilkins Test was ge n e r a t e d from the ability of four of the eight independent variables to predict the global score. The technique e m p l o y e d was multiple develop the model. linear r e gression to This m e t h o d dete r m i n e d that the independent variables w h i c h could be u t i lized wi t h i n the p r e d e t e r m i n e d limit constraints were: 1. The r e p o r t e d number of m otor vehicle accidents. 12. The number of a l c o h o l - r e l a t e d violations. 3. The age of the individual. 4. The r e p o r t e d number of alcoho l - d r i n k i n g years. The remaining four (4) variables could not s i g n ificantly increase the amount of v a r iance e x p lained by the model. The amount of v a r i a n c e exp l a i n e d by the p r ediction model was d e termined to be appro x i m a t e l y .30. An analysis of variance of the p r e d i c t i o n m o d e l dem o n s t r a t e d a linear r e l a t i o n ­ ship between the independent variables and the global score on the M o r t i m er-Filkins Test at less than the cance level. .01 s i g n i f i ­ 107 The p r ediction m o d e l d e r i v e d can be r e p r e s e n t e d as follows: Y = 101.57 + 8.62 - 4.01 + .95 + 2.53 (X3 ) + 3.27 (X^ + .95 + 15.82 + 5.69 (X2 ) + (X4 ) where Y = global score on the M o r t i m e r - F i l k i n s Test X^ = the r e p o r t e d nu m b e r of m o t o r vehi c l e accidents X 2 = the nu m b e r of a l c o h o l - r e l a t e d violations X^ = age X 4 = the r e p o r t e d n u m b e r of alcohol d r i n k i n g y e a r s . Other a d d i t i o n a l s i g n i ficant r e l a tionships were fied from the analysis of the data. the independent v a riables at the identi­ The relationships of to e a c h other that were significant .05 level as d e t e r m i n e d b y the Pearson Correlation Coefficient are: 1. Age to the r e p o r t e d number of alcohol drinking years and the number of m o v i n g violations. 2. The nu m b e r of r e p o r t e d alcohol d r i nking years related to the r e p o r t e d nu m b e r of alcohol d r i nking days in the previous t h i r t y days prior to assessment, of m o v i n g violations, the number and the number of alco h o l - r e l a t e d violations. 3. The nu m b e r of r e p o r t e d alcohol d r i n k i n g days in the previous thi r t y days p r i o r to assessment to the number of mo v i n g violations, the number of a l c o h o l - r e l a t e d violations, and the number of r e p o r t e d m o t o r vehicle accidents. 4. 108 The number of m o v i n g violations to the number of alcohol- r e l a t e d violations and the number of reported motor vehicle accidents. 5. The number of a l cohol-related violations to the r e p orted number of m o t o r vehicle accidents. 6. Finally, the number of reckless d r i v i n g violations to the r e p orted number of m otor vehicle accidents. The analysis of the data pre s e n t e d in this chapter s hould only be c o nsidered applicable to this selected sample of young convicted OUIL offenders, and are not necess a r i l y to be generalized to a larger population. conclusions, chapter. The summary, and recommendations are p r e s e n t e d in the next 109 Footnotes Paul J. Bloomers and Robert A. Forsyth, Elem e n t a r y Statistical Methods in Psychology and E d u c a t i o n , 2nd ed. (Boston: H o u g h t o n - M i f f l i n Co., 1977). pp. 451-452. Chapter ,V Summary, Findings, Conclusions, Recommendations, and Discussion/Reflections The p r i m a r y purpose of this study was to det e r m i n e the f easibility of e s t a blishing a prediction m o d e l b y use of regression analysis of the p r e - s elected descri p t i v e variables w h i c h could prov i d e significant p r e d i c t a b i l i t y of pr o b l e m a t i c drinking behav i o r to be cost effective in its applic a t i o n prior to the M ortimer-Filkins study ma y provide Test. Additionally, this information on the characteristics of young OUIL offenders w h i c h ma y have application to the r e ­ education of these offenders to prevent subsequent similar violations, or enhance intervention techniques prior to initial violations. To achieve this purpose, several investigations were made to determine whet h e r or not a r e l a t ionship existed betw e e n the following: 1. The m e a n scores for each of the independent variables and the level of p r o b l e m classification. 2. The dependent variable, Mo r t i m e r-Filkins Test, the global score on the and each of the independent variables utilized in the study. 3. The dependent variable and independent v a r iables in the form of a m u l tiple linear regression. 110 Ill A selected sample of 126 individuals convicted of o p erating under the influence of intoxicating liquor was o b t ained w i t h the cooper a t i o n of the Michigan 54th-B District Court, East Lansing, Michigan. The court probation officer assigned to the assessment process the data on the sample. interviewed and collected Sample inclusion required that the assessment took p l a c e after April 1, 1983, but before M a y 1, 1984, available. and that all information on the variables was The sample data were coded and interpreted by the investigator upon receipt from the 54th-B District Court. The m a j o r hypotheses were tested using a two-tailed analysis of variance, Pearson C orrelation Coefficient, and mu l t i p l e linear r e g r e s s i o n analysis. Major Findings The following are the m ajor findings based upon the analysis of the dat a from this 1. A signif i c a n t difference in the mean scores for the independent v a r i a b l e s : accidents, investigation: reported number of motor vehicle a l c o h o l - r e l a t e d violations, of alcohol d r i n k i n g days and reported number in the previous thirty days prior to assessment e x i s t e d for the level of p r o b l e m classification 2. A signif i c a n t r e l a t ionship existed between the dependent varia b l e and these independent variables: number of motor vehi c l e accidents, age, a l c o h o l -related violations reported number of alcohol d r i nking years, number of alcohol d r i n k i n g days reported and reported in the previous thirty days 112 prior to assessment. 3. A p r e d i c t i o n m odel for the dependent variable was deri v e d using the following independent variables: re p orted number of m o t o r vehicle accidents, violations, age, alcohol-related and the r e p orted number of alcohol d r i n k i n g years. 4. The b l o o d alcohol concentration at the time of arrest did not s i g n i f i c a n t l y influence the dependent variable, nor was there a s ignificant r e l a t ionship between the blood alcohol c o n c e n t r a t i o n at the time of arrest and any of the other variables. A d ditional Findings The f o llowing are the additional findings b a s e d upon the analysis of dat a from this investigation as p r e s e n t e d b y the independent variable: 1. No s ignificant difference in the mean age of eac h level of p r o b l e m classification. 2. There was a significant relationship b e t w e e n age and the r e p o r t e d number of alcohol d r i nking years. 3. There was a significant relationship b e t w e e n age and the number of m o v i n g violations. 113 Blood Alcohol Concentration at the Time of Arrest 1. No s i g n i f i c a n t d i fference in the m ean blood alcohol concentration of e a c h level of p r o b l e m classification. 2. No s i g n i f i c a n t r e l a t i o n s h i p between the global score on the M o r t i m e r - F i l k i n s Test and the b lood alcohol concentration at the time of arrest. 3. That b l o o d alcohol conce n t r a t i o n can not be used to s i g n i f i c a n t l y increase the p r e d i c t a b i l i t y of the regression model. Reported Number of Alco h o l Drinking Years 1. There was a significant rel a t i o n s h i p between the reported number of alco h o l d r i n k i n g years and the number of r e p orted alco h o l d r i n k i n g days in the previous thirty days prior to assessment. 2. There was a significant rel a t i o n s h i p between the reported number of alco h o l drink i n g years and the number of m o v i n g violations. 3. There was a significant rel a t i o n s h i p between the reported number of a l c o h o l d r i nking years and the number of a l c o h o l - r e l a t e d violations. Reported Number of Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment 1. That the nu m b e r of r e p o r t e d alcohol drinking days in the previous t h i r t y days p rior to assessment can not 114 be used to s i g n i f i c a n t l y increase the p r e d i c t a b i l i t y of the regression model. 2. There was a significant r e l a t ionship between the repor t e d number of alcohol d r i nking days in the previous thirty days prior to assessment and the number of moving violations. 3. There was a significant r e l a t ionship between the reported number of alcohol d r i nking days in the previous thirty days prior to assessment and the number of reported motor vehicle a c c i d e n t s . Number of Moving Violations 1. That the number of mo v i n g violations can not be used to signi f i c a n t l y increase the p r e d i c t a b i l i t y of the regression model. 2. There was a significant r e l a tionship between the number of moving v iolati ons and the number of alcohol-related violations. 3. There is a significant r e l a tionship between the number of mo v i n g violati ons and the number of reported motor vehicle accidents. Number of A l c o h o l - R e l a t e d Violations 1. There was a significant r e l a t ionship between the number of a l c o h o l -related violations motor vehicle accidents. and the number of reported 115 Number of Reckless Driving Violations 1. No s ignificant d i f f e r e n c e in the mean number of reckless driving viola t i o n s and eac h level of p r o b l e m c l a s s i ­ fication . 2. No signif i c a n t r e l a t i o n s h i p betw e e n the global score on the M o r t i m e r - F i l k i n s Test and the number of reckless d riving violations. 3. That the nu m b e r of reckless driving violations can not be used to s i g n i f i c a n t l y increase the pr e d i c t a b i l i t y of the regression model. Conclusions 1. The data indicates that at the .05 level of s i g n i f i ­ cance individuals w i t h a global score less than 59 differ from individuals s c o r i n g greater than 59 on b o t h their drinking and driving behavior. 2. A score above 59 was a s sociated w i t h a greater number of years of alcohol drinking, more involvement more frequent drinking, in a l c o h o l - r e l a t e d violations and a greater number of motor v e h i c l e accidents. Together these describe a greater likelihood of p r o b l e m drinking. 3. values For a score of 59 or less there were lower reported for number of years of alcohol drinking, drinking, less involvement less frequent in alco h o l - r e l a t e d violations, and fewer numbers of m otor vehicle accidents w h i c h indicates less problematic alcohol d r i n k i n g behavior. It is proposed 116 that this subgroup's behavior is p o t e n t i a l l y amenable through more traditional didactic forms of intervention rather than group counseling r e s erved for more serious p r o b l e m drinkers. 4. The analysis of the data for this appears to have sustained the belief and accidents, investigation in the role of alcohol as w ell as to relate this driving behav i o r to the level of proble m a t i c drinking behavior. 5. An interpretation of the analysis of data p e r t a i n i n g to the relationship of mov i n g violations to accidents and alcohol-related violations suggests that a possible e xplanation is that as problems w i t h driving behavior increase, so does the likelihood of p roblematic drinking b e h a v i o r increase, although this g e n e ralization requires 6. further investigation. It is p o s sible to state that for this selected sample the r e l a t ionship of drinking b e h avior to problems w i t h driving behavior does exist. S p e c i f i c a l l y the r e l a t i o n ­ ship of the length of the alcohol drinking experience and freque ncy of drinking are correlated to m o v i n g violations and alcohol-related violations. The exact nature of the relationship is unclear at this time. 7. The analysis of the data d e m o n strated age to be correlated to the number of alcohol drinking years, as mov i n g violations. as well A possible explanation for the r e l a t i o n ­ ship is that it m a y be more the result of the older the individual the greater the likelihood that such violations are incurred. 117 8. The relationship of age to the global score on the M o rtimer-Filkins Test appears to suggest that the younger the individual at the time of assessment, the greater the influence on p r o b l e m a t i c behavior. 9. A predi c t i o n m o d e l for the M/F . s c o r e can be d e ­ veloped using the independent variables, and that the im­ portance of driving b e h a v i o r and d r i n k i n g b e h avior are r e ­ flected in the model. 10. An important c o nclusion of this study was that the b lood alcohol conce n t r a t i o n at the time of arrest could not show a significant d ifference in the level of problem classification. Additionally, blood alcohol concentration failed to demonstrate a significant rela t i o n s h i p to the global score on the Mortim e r - F i l k i n s Test, other seven (7) independent variables, or any of the nor was b lood alcohol concentration able to s i g n i f i c a n t l y improve the amount of variance in the global score as exp l a i n e d b y the prediction model. The data appear to be at o p position to conclusions about the relationship of b l o o d alcohol concentration at the time of arrest and the level of p r o b l e m a t i c drinking behavior reac h e d by other investigators. that, "First, Blount has stated one can not predict wh o will or will not complete treatment on the basis of age, B A C , or M/ F score, that the latter two are quite robust w i t h alcohol."'*' and second indicators of problems Reis has also stated the importance of b lood alcohol concentration in the identification of problem drinkers. 2 118 As repor t e d e a r l i e r m the re v i e w of literature, blood alcohol c o n c e n t r a t i o n at the time of arrest has been utilized in d e t e r m i n i n g p r o b l e m a t i c d r i nking behavior. However, for this y o u n g of convicted offenders (ages 25 or less) selected sample this concl u s i o n seems to be absent. A possible e xplanation for this observ a t i o n m a y be the young person's inexperience w i t h alcohol, of the individual to d e t e r m i n e alcohol concentrations. and a concomitant inability levels of impairing blood If this explan a t i o n methods of e d u cating individuals is correct, in the ability to m e a n i n g f u l l y detect impairing levels of b l o o d alcohol concentrations are essential. Recommendat ions General 1. The r e l a tionships b e t w e e n the eight (8) independent variables and the level of p r o b l e m classif i c a t i o n should be utilized to s trengthen the assessment of young convicted OUIL offenders. » 2. High school personnel, including not only driver education instructors and hig h school counselors, but all levels of school p e r s o n n e l should be made aware of the r e l a t i o n ­ ship of the eight independent variables to pot e n t i a l p r o b ­ lematic behavior. 4. Assessment p e r s o n n e l from the various agencies and state court systems sh o u l d be appraised of the relationship 119 of the eight independent variables to the assessment of young convicted OUIL offenders. 5. A needs assessment of state per s o n n e l responsible for the assessment of young OUIL offenders should be conducted w i t h the purpose in m ind of d e t e r m i n i n g the need for either inservice education or formalized c o ursework in procedures for the assessment process to become more cost-effective. 6. Juvenile pro b a t i o n officers should be appraised of the r e l a t ionship of the eight independent variables to the level of p r o b l e m classification. Research 1. A study should be c o nducted to include a m u c h larger ra n d o m sample of y oung OUIL offenders (ages 25 or less) convicted for the purpose of sust a i n i n g or improving the p r ediction model. 2. variables The fe a s i b i l i t y of uti l i z i n g the eight independent in identifying pot e n t i a l y oung OUIL offenders should be investigated for the purp o s e of improving early intervention. 3. A search for other r e a d i l y available independent variables should take place for the purpose of increasing the strength of the p r ediction m o d e l to make it more cost- effective in application. 4. Individuals c l assified according to their p r o b ­ lematic drinking b e h a v i o r should be included in a follow up investigation to determine if changes occur in that said 120 classification with time. 5. A quasi-experimental ducted to d e termine investigation should be c o n ­ if the cut off score of the level of p r o b l e m c l a s s i f i c a t i o n as d e t e r m i n e d b y the global score on the M o r t i m e r - F i l k i n s Test can be reduced while still m a i n t a i n i n g a hig h degree of r e l i a b i l i t y and validity. 6. An invest i g a t i o n b y factor analysis of the responses to the content of the Morti m e r - F i l k i n s Test should be made for the purpose of id e n t i f y i n g significant behav i o r a l items. Discussion A l t h o u g h there is a w e a l t h of information on human use of ethanol as a m a t t e r of choice, perhaps tracable to the earliest of r e c o r d e d h i storical times, m u c h remains to be d i s c o v e r e d about the interaction of the my r i a d of variables that affect the outcome of drinking behavior. The role of the p a r t i c u l a r soci e t y wi t h i n w h i c h the individual lives wil l g r e a t l y influence w h e t h e r alcohol is available in the first place, as w ell as contribute to the formation of the a cceptable b o u n d a r i e s of the use of alcohol. v ar y in their b o u n d a r i e s , and so the resultant Societies impact of the use of alcohol on the society is generally only predictable in a v e r y omnibus manner. W hile the norm boundaries lead to some p r e d i c t a b l e general i z a t i o n about the population as a whole, no s uch p r e d i c t i o n is available for any one specific individual. 121 Furthermore, the c o llection of information on individual characteristics of persons s u f fering negative consequences from their drinking b e h a v i o r at present only provides a modest prediction of subsequent d r i n k i n g behavior problems. This is not to discount the value of data collections on the characteristics of persons who are at high risk to e n ­ counter negative consequences from drinking, liability of those data remains somewhat but the r e ­ in question. The r eliability of p r ediction models needs to be validated by appropriately designed q u a s i - e x p e r i m e n t a l longitudinal studies b ased on some firmly founded th e o r e t i c a l models. such studies are conducted, Until the question of whether descriptive characteristics are c o n t r i b u t o r y or ex post facto consequences of drinking behavior remains unanswered. The lack of theore t i c a l paradigms is not the problem; there is a sufficient su p p l y of available models to choose from. Until r e c ently these models were specific to some p a rticular discipline from an a p p r o priate natural or social science. Each discipline has been ov e r l y zealous in fostering its own theoretical position, often to the point of total exclusion of other paradigms. Suc h limited thinking has p r e vented the serious development of a unified multivariate theoretical model, e x p l a i n i n g the p h e n o m e n o l o g y of alcohol use in the form of human consumption. O nly recently have a few theoretical models been p r o p o s e d that include the major identified influencers of d r i n k i n g behavior. these models still lack the test of time, A l t hough they are a b e ginning 122 in the correct direction, but still more refinement is needed. While the idiosyncrosies of drinking behavior change w i t h time, b o t h in an individual and societal sense, the use of alcohol has bee n in existence for a lengthy time period and can reaso n a b l e be expected to continue for a like period. It sh o u l d be the goal of all individuals c o n ­ cerned about the consequences of alcohol use to minimize the negative effects b y w o r k i n g towards a unified m odel of the p h e n o m e n o l o g y of drink i n g w h i c h intervenes at the earliest possible stage of abuse. A l t h o u g h youthful drinkers have formed the specific s u b p opulation cited throughout these chapters, similar arguments could be made for early p rim a r y prevention w i t h other subpopulations of drinkers. Primary prevention models are better suited to targeting smaller, cycle. more specific time points within the human life C o n c e n t r a t i n g on b r i n g i n g about change in smaller subpopulations, such as d r i nking drivers, the needs of that point ment advantages. w h i c h reflect in the life cycle w ill offer m a n a g e ­ It is p r i m a r y p revention that is more cost effective than s e c o n d a r y or tertiary programs. Reflections Ha v i n g d i scussed long range goals within the p r e ceding section, the author wishes to reflect upon some immediate applications that m ight be undertaken b y those having influence wit h the young d r i nking driver problem. 123 Throughout the course of study in prepar a t i o n for the completion of this t e r m i n a l degree prog r a m several concerns relating to alcohol use and its sequalae of problems became evident. These concerns the school, focu s e d on the roles of the police, the state and the family as agents in the prim a r y preven tion of alco h o l problems among youth. These organizations have an o p p o r t u n i t y e a r l y in the total development of an individual to influence d r i n k i n g practices of moderation to prevent later alco h o l abuse problems. However, while there have b een attempts to stre n g t h e n the influence of these organ i z a t i o n s on y o u t h f u l d r i nking practices, much remains to be accomplished. As an example, an immediate the police are in a position to have impact on y o u t h f u l drinking, yet police officers frequently v i e w d r i n k i n g b y those under the legal drinking age as harmless, behavior. perhaps In addition, length of p a p e r w o r k officers m a y be discou r a g e d by the involved in citing an under age person for illegal drinking, "cooperative." as a r eflection of their own youthful e s p e c i a l l y if the individual has been A d d i t i o n a l court time m a y discourage the officer to go b e y o n d a h a r s h admonishment, understandable the minor's w hile this is it can onl y serve to p o s i t i v e l y reinforce c o n c e p t u a l i z a t i o n of a universal a c c e ptability of youthful drinking. Police officers must be encouraged to legally intervene to assure that the offender clearly understands the s eriousness of the behavior. 124 Furthermore, various state depa r t m e n t a l organizations have been provi d e d w i t h the legal powers in p r i m a r y prevention. Commission (LCC) For example, to act as agents the Liquor Control is vested w i t h the a u thority to enforce laws r egulating the control and d i s t r ibution of alcoholic beverages. Their use of these powers can either increase or decrease the avai l a b i l i t y of alcoholic beverages to m i n o r s . By encouraging stricter enforcement of laws restri c t i n g the sale of alcoholic beverages sanctions, and the employment of empowered the LCC can reduce alcohol a v a i l a b i l i t y to minors, a lthough it w o u l d be naive to see this action as the complete "cure" for the problem. adherence to "Dram Shop" Additionally, the LCC can encourage legislation b y the various purveyors of alcoholic b e v e r a g e s . A long w i t h the LCC, the Department of the S e c retary of State has the ability to i d e ntify p o t e n t i a l drinking drivers thro u g h its driver licensing records. The utilization of current state of the art methods to identify potential p r o b l e m drinking drivers, e s p e c i a l l y youthful drivers, prior to the occurence of serious consequences makes this agency suitable for a role in p r i m a r y prevention. of r e s earch findings for a forward impetus The application in early identification can provide in efforts to reduce the number of youthful d r i nking d r i v e r s . The school is in an advantageous position to influence youthful drinking practices. However, to date this position has either been ignored or given mini m a l compliance. The 125 effort of e d u c a t i o n a l systems has been to segregate alcohol education into d i s c r e t e units of instruction reserved for specialized times or courses, education. suc h as health or driver Most often the instruction is cognitive in nature, although in some instances attempts at affect modification are made. Rarely is there an effort to change existing behavior b y f o r m a l i z e d methods The school needs in an educational setting. to assume an active role in primary prevention of alco h o l abuse e a r l y on in the formal schooling of youth. This sho u l d b egin no later than the fourth or fifth grade and emp h a s i z e decisions p e r t a i n i n g to the use of alcohol. However, it is u nrealistic to vie w this effort as b e i n g one to c over a lifetime. Research suggests that drinking practices change over a lifetime. attention must be on the point The focus of in time when the schools can influence the youth. The school is also p r e s e n t e d w i t h an o pprotunity to identify and assist p o t e n t i a l alcohol abusers among its students. Too o ften this o p p o r t u n i t y is ignored, perhaps it is too e asy to d e n y the exi s t e n c e of such problems among the students even t h o u g h a small but significant portion show signs of alcohol abuse. Administrators, counselors, and teachers need to a c t i v e l y p a r t i c i p a t e in reducing the risk of alcohol abuse among s t u d e n t s . The org a n i z a t i o n w i t h the greatest opportunity to p ractice p r i m a r y p r e v e n t i o n is the family. closer to the p r o b l e m than the family, No entity is and it begins w ith 126 parental drinking practices. Parental m o d e r a t i o n of drinking behavior and an emphasis on the r e s p o n s i b i l i t i e s of drinking can encourage an appropriate m o d e l for children. In addition, parents need to moni t o r the b e h avior of their children and exert p a r ental authority when necessary. Finally, it is necessary to be r e m i n d e d that abstinence is a viable alternative. As a soci e t y abst i n e n c e should be e n couraged for those who see it as an appropriate behavior, abstinence should not be viewed as a n y thing but normal. S ociety sets the tone for its members behavior. Education has a role in p r i m a r y p r e v e n t i o n as not only a vehicle of awareness but a means b y w h i c h b e h a v i o r can be changed in a positive direction. E d u c a t i o n requires a commitment from all members of a soci e t y to be successful. 127 Footnotes W i l l i a m R. Blount, "The Effect of Drinking Driver R e ­ habilit ation Efforts on Rearrests W h e n Drinking Type is C o n ­ trolled" DWI Reeducation and Rehabilitation Programs-Success ful Results and the Future (Falls Church, AA A Foundation for Traffic Safety, 1983) p. 35. 2 Ray Reis, "The Traffic Safety Impact of DUI education and Coun s e l i n g Programs," DWI Reeducation and Rehabilitation Programs--S u c c e s s f u l Results and the Future (Falls Church, AAA Foundation for Traffic Safety, 1983) p. 43. APPENDICES APPENDIX A Means for All Variables b y Level of Problem C l a s s i f i c a t i o n Sample, and the Standard Error of the Sample Mean APPENDIX A Means for All Variables by Level of Problem Classification Sample, and the Standard Error of the Sample Mean Social Drinkers N=113 Excessive Drinkers N=10 Problem Drinkers N=3 Sample Mean N=126 Standard Error Score on Mortimer-Filkins Test 31.48 69.10 115.33 36.46 1.74 Age 21.27 21.50 19.00 21.23 .18 Blood Alcohol Concentration 14 .97 15.90 14.67 15.04 .26 5.17 5.01 6.60 5.18 .18 4.94 6.40 10.33 5.18 .35 2.68 3.50 3.67 2.77 .22 Number of Alcohol Related Violations .02 .50 .33 .06 .03 Number of Reckless Driving Violations .01 .09 .00 .02 .01 Number of Motor Vehicle Accidents .20 .40 1.67 .25 .05 Number of Reported Alcohol Drinking Years Number of Reported Alcohol Drinking Days in the P r e ­ vious Thirty Days Prior to Assessment Number of Moving Violations APPENDIX B Pearson C o r r e l a t i o n Coefficient Values for Various C o m b i nations of the Eight Independent Variables APPENDIX B Pearson Correlation Coefficient Values for Various Combinations of the Eight Independent Variables Pearson Correlation Coefficient Independent Variable Age Blood Alcohol Concentration .11 .01 .10 When Alcohol First Began .61 .37 >.01 The Number of Reported Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment .12 .01 .09 Number of Moving Violations .31 .09 >.01 Number of AlcoholRelated Vilations .09 >.01 .16 Number of Reckess Driving Violations .05 >.01 .29 -.63 >.01 .24 .01 .01 .47 Number of Reported Motor Vehicle Accidents Blood Alcohol Concentration When Alcohol Drinking First Began r squared Significance of r Dependent Variable APPENDIX B--Continued Dependent Variable Independent Variable The Number of Reported Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment When Alcohol Drinking First Began Pearson Correlation Coefficient r Squared Significance of r >.01 >.01 .47 The Number of Moving Violations .08 >.01 .19 The Number of AlcoholRelated Violations .14 .02 .06 The Number of Reckless Driving Violations >.01 >.01 .49 The Number of Reported Motor Vehicle Accidents .11 >.01 .12 The Number of Reported Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment .29 .08 >.01 The Number of Moving Violations .38 .14 >.01 The Number of AlcoholRelated Violations .23 .05 >.01 APPENDIX B--Continued Dependent Variable The Number of R e ­ ported Alcohol Drinking Days in the Previous Thirty Days Prior to Assessment Independent Variable r Squared Significance of r The Number of Reckless Driving Violations .05 >.01 .28 The Number of Reported Motor Vehicle Accidents .03 >.01 .37 The Number of Moving Violations .16 .02 .04 The Number of Alcohol-Related Violations .20 .04 .01 >.01 >.01 .40 The Number of Reported Motor Vehicle Accidents .26 .07 > .01 The Number of AlcoholRelated Violations .16 .03 .03 The Number of Reckless Driving Violations .01 >.01 .45 The Number of Reported Motor Vehicle Accidents .36 .13 .01 The Number of Reckless Driving Violations The Number of Moving Violations Pearson Correlation Coefficient APPENDIX B--Continued Dependent Variable Independent Variable The Number of Alcohol-Related Violations The Number of Reckless Driving Violations The Number of Reckless Driving Violations Pearson Correlation Coefficient r Squared Significance of r >.01 >.01 .37 The Number of Reported Motor Vehicle Accidents .24 .06 >.01 The Number of Reported Motor Vehicle Accidents .16 .02 .04 APPENDIX C The Mortimer-Filkins Test P L E A S E NOTE: C o p y rig h te d m a te r ia ls in th is d o c u m e n t h a v e n o t b e e n film e d a t th e r e q u e s t of t h e a u th o r . T h e y a r e a v a ila b le fo r c o n s u lta tio n , h o w e v e r, in th e a u th o r ’s u n iv e rsity library. T h e s e c o n s is t of p a g e s : M ortimer-Filkins Questionnaire University Microfilms International 3 0 0 N Z e e b R d ., A nn A rbor, Ml 4 8 1 0 6 (313) 761-4700 Appendix C APPENDIX D The Pearson Correlation Method, M u l t i p l e Regression, and Residual Analysis D1 A PPENDIX D The Pearson Correlation Method The Pearson me t h o d ma y be s y m b o l i c a l l y r e p r e s e n t e d 1 as f o l l o w s : r: = E x .y . x,y iJ i NS S x y where X. 1 = X. 1 - X Y. = Y. - Y l S S N x y l = standard deviation of X = standard deviation of Y = number of cases The Importance of the r Squared Value The r squared value is of parti c u l a r importance since it represents the amount of variance in the dependent variable explained by the independent variable. The significance and pr o b a b i l i t y values of r represent the b e h a v i o r of a p a rticular statistic if the value was drawn from a normal bivariate d i s t r ibution in the population. Since the true population value can not be known exactly, the significance and pr o b a b i l i t y values of the sample represent the result of hypothesis testing. D2 Multiple Regression The multiple r e g r e s s i o n equation e m p loyed was d e veloped from a model s y m b o l i c a l l y represented: Y. 1 - a = b.x, . + b nx~ . + ---- + b, x. . 1 li 2 2i h hi where y^ = dependent variable a = intercept b = slope of independent variable x = value of independent variable 2 as found in Hays. Stepwise Method of Entry Stepwise e n t r y requires that the computer select the independent variable to be entered b y their ability to explain the variance limit in the dependent v a r iable until a p r e d e t e r m i n e d is achieved. W h e n this limit is achieved the selection process stops and any r e m a i n i n g independent variables left out of the model. was the SPSS default are The limit s e l ected for this m odel limit, w i t h a default value of the F-statistic at 3.84 and an a s sociated p r o b a b i l i t y value of .05. D3 Partial C o r r e l a t i o n Coefficient, Squared and M u l tiple r Statistics The partial c o r r e l a t i o n c oefficient not in the equation repre s e n t s (r) of the variable the square root of the r e ­ lationship of that p a r t i c u l a r v a r i a b l e to the global score on the M o r t i m e r - F i l k i n s Test variables are removed. v ariable represents if the influence of all Thus the r squared value for the amount of varia n c e other the in the global score explained b y that variable. The Multiple r is the square r squared value repr e s e n t s root of r squared. the amount of variance global score on the M o r t i m e r - F i l k i n s multiple linear r e g r e s s i o n equation. value represents population. The in the Test exp l a i n e d b y the The adjusted r squared an attempt to fit the m odel to the general The s t a n d a r d e rror of the equation is also presented. Analysis of Residuals Residuals r e p r e s e n t that p o r t i o n of the variab i l i t y in the dependent v a r i a b l e not e x p l a i n e d by the regression model. Again the SPSS p r o g r a m was u t i lized in the residual analysis. The m e t h o d s e l e c t e d was the stepwise procedure used in the de v e l o p m e n t of the m u l t i p l e linear regression equation. Table 15 presents the analysis of variance for the regression e q u a t i o n under the heading: Equation Analysis of Variance. Multiple Regression This statistic represents D4 w het h e r there is a linear relationship b e t w e e n the dependent variable and the set of independent variable. As pre s e n t e d in Table 15 the F-statistic value is 12.25 w i t h an a s sociated significance of less that >.01 indicating a strong r e l a t i o n ­ ship between the dependent variable and the independent variables. A further analysis of residual statistics the dependent variable, involving the global score on the Mo r t i m e r - Filkins Test is p r e s e n t e d in Table 16 under the heading: Analysis of Residual Statistics of the Dependent Variable. The results demons t r a t e the amount of v a r i a b i l i t y between the pre d i c t e d value for the dependent v a r i a b l e from the multiple linear regre s s i o n m odel and the actual observed values of the dependent variable. The various statistics pr e s e n t e d represents the influence of unusual observations on the p r ediction model, true errors as well as the estimate of the involved w i t h the regression model. The c o r r e ­ lation of these true errors can be est i m a t e d by use of the Durbin-Watson test statistic. Watson test statistic value was For this m odel the Durbin1.95. This value does that there is a t e n d e n c y toward a serial correlation of the error terms in a positive direction. indicate Table 15 Multiple Regression Analysis of Variance Regression Degrees of Freedom Sum of Squares Mean Square 3 11002.48 3667.49 F 12.25 Residuals 122 36518.82 Significance of F >.01 299.33 o Table 16 Analysis of Residuals Statistics of the Dependent Variables Number of cases Maximum Unstandardized Predicted values 11.77 83.03 36.46 10.67 126 Standardized Predicted Values -2.31 4.36 .00 1.00 126 1.63 10.88 2.98 1.43 126 10.43 98.23 36.41 10.97 126 Mahalanobis Distance .21 52.83 3.97 6.41 126 Cook's Distance .00 1.07 .02 .11 126 -27.65 70.01 .00 16.32 126 Standardized Residuals -1.67 4.22 .00 .98 126 Studentized Residuals -1.74 4.70 .00 1.03 126 Deleted Residuals -38.23 86.88 .05 17.95 126 Studentized Deleted Residuals -1.75 5.18 .01 1.05 126 Standard Error of the Predicted Values Adjusted Predicted Values Unstandardized Residuals Mean Standard Deviation Minimum Footnotes Paul J. 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