Federal actions to incentivise state adoption of 0.08 g/dL blood alcohol concentration laws

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Abstract

Objective To model rates of 0.08 g/dL blood alcohol concentration (BAC) per se law implementation among the states associated with (1) a federal incentive grant programme and (2) a threat from the federal government to withhold highway transportation funds. Methods An observational study of state-level 0.08 g/ dL BAC per se law enactment among all 50 US states from 1982 to 2006 using a parametric survival analysis to assess the time-dependent risk of policy enactment. Results The federal government's threat to withhold transportation funds was associated with a 10.30 times greater hazard (HR: 10.30, 95% CI 3.88 to 27.36) of states adopting a 0.08 g/dL BAC law compared with periods of time when this threat was not in place. The incentive grant programme created by the federal government was associated with a non-significant 17% decrease in the hazard of states adopting a 0.08 g/dL BAC law (HR: 0.83, 95% CI 0.35 to 2.0). Conclusion In the case of 0.08 g/dL BAC per se laws, the federal government's threat to withhold transportation funds was effective at accelerating policy adoption.

Original languageEnglish (US)
JournalInjury Prevention
DOIs
StateAccepted/In press - Oct 31 2016

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Federal Government
Financial Management
Organized Financing
Motivation
Survival Analysis
Observational Studies
Blood Alcohol Content

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

@article{eeba8f2c92424675a0b00995f68c4f02,
title = "Federal actions to incentivise state adoption of 0.08 g/dL blood alcohol concentration laws",
abstract = "Objective To model rates of 0.08 g/dL blood alcohol concentration (BAC) per se law implementation among the states associated with (1) a federal incentive grant programme and (2) a threat from the federal government to withhold highway transportation funds. Methods An observational study of state-level 0.08 g/ dL BAC per se law enactment among all 50 US states from 1982 to 2006 using a parametric survival analysis to assess the time-dependent risk of policy enactment. Results The federal government's threat to withhold transportation funds was associated with a 10.30 times greater hazard (HR: 10.30, 95{\%} CI 3.88 to 27.36) of states adopting a 0.08 g/dL BAC law compared with periods of time when this threat was not in place. The incentive grant programme created by the federal government was associated with a non-significant 17{\%} decrease in the hazard of states adopting a 0.08 g/dL BAC law (HR: 0.83, 95{\%} CI 0.35 to 2.0). Conclusion In the case of 0.08 g/dL BAC per se laws, the federal government's threat to withhold transportation funds was effective at accelerating policy adoption.",
author = "Tung, {Gregory J.} and Vernick, {Jon S} and Elizabeth Stuart and Webster, {Daniel W} and Andrea Gielen",
year = "2016",
month = "10",
day = "31",
doi = "10.1136/injuryprev-2016-042087",
language = "English (US)",
journal = "Injury Prevention",
issn = "1353-8047",
publisher = "BMJ Publishing Group",

}

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T1 - Federal actions to incentivise state adoption of 0.08 g/dL blood alcohol concentration laws

AU - Tung, Gregory J.

AU - Vernick, Jon S

AU - Stuart, Elizabeth

AU - Webster, Daniel W

AU - Gielen, Andrea

PY - 2016/10/31

Y1 - 2016/10/31

N2 - Objective To model rates of 0.08 g/dL blood alcohol concentration (BAC) per se law implementation among the states associated with (1) a federal incentive grant programme and (2) a threat from the federal government to withhold highway transportation funds. Methods An observational study of state-level 0.08 g/ dL BAC per se law enactment among all 50 US states from 1982 to 2006 using a parametric survival analysis to assess the time-dependent risk of policy enactment. Results The federal government's threat to withhold transportation funds was associated with a 10.30 times greater hazard (HR: 10.30, 95% CI 3.88 to 27.36) of states adopting a 0.08 g/dL BAC law compared with periods of time when this threat was not in place. The incentive grant programme created by the federal government was associated with a non-significant 17% decrease in the hazard of states adopting a 0.08 g/dL BAC law (HR: 0.83, 95% CI 0.35 to 2.0). Conclusion In the case of 0.08 g/dL BAC per se laws, the federal government's threat to withhold transportation funds was effective at accelerating policy adoption.

AB - Objective To model rates of 0.08 g/dL blood alcohol concentration (BAC) per se law implementation among the states associated with (1) a federal incentive grant programme and (2) a threat from the federal government to withhold highway transportation funds. Methods An observational study of state-level 0.08 g/ dL BAC per se law enactment among all 50 US states from 1982 to 2006 using a parametric survival analysis to assess the time-dependent risk of policy enactment. Results The federal government's threat to withhold transportation funds was associated with a 10.30 times greater hazard (HR: 10.30, 95% CI 3.88 to 27.36) of states adopting a 0.08 g/dL BAC law compared with periods of time when this threat was not in place. The incentive grant programme created by the federal government was associated with a non-significant 17% decrease in the hazard of states adopting a 0.08 g/dL BAC law (HR: 0.83, 95% CI 0.35 to 2.0). Conclusion In the case of 0.08 g/dL BAC per se laws, the federal government's threat to withhold transportation funds was effective at accelerating policy adoption.

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