Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation

Oviedo-Trespalacios O., ÇELİK A. K. , Marti-Belda A., Wlodarczyk A., Demant D., Nguyen-Phuoc D. Q. , ...More

ACCIDENT ANALYSIS AND PREVENTION, vol.159, 2021 (Journal Indexed in SSCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 159
  • Publication Date: 2021
  • Doi Number: 10.1016/j.aap.2021.106212
  • Keywords: Alcohol, vulnerable road users, substance use, multi-country study, active travel, Theory of Planned Behaviour, PLANNED BEHAVIOR, PEER PRESSURE, DRIVER INJURY, DRINK WALK, CONSUMPTION, RISK, ROAD, PEDESTRIANS, ASSOCIATION, PERCEPTIONS


Alcohol is a global risk factor for road trauma. Although drink driving has received most of the scholarly attention, there is growing evidence of the risks of alcohol-impaired walking. Alcohol-impaired pedestrians are over-represented in fatal crashes compared to non-impaired pedestrians. Additionally, empirical evidence shows that alcohol intoxication impairs road-crossing judgements. Besides some limited early research, much is unknown about the global prevalence and determinants of alcohol-impaired walking. Understanding alcohol impaired walking will support health promotion initiatives and injury prevention. The present investigation has three aims: (1) compare the prevalence of alcohol-impaired walking across countries; (2) identify international groups of pedestrians based on psychosocial factors (i.e., Theory of Planned Behaviour (TPB) and perceptions of risk); and (3) investigate how segments of pedestrians form their intention for alcohol-impaired walking using the extended TPB (i.e. subjective norm, attitudes, perceived control, and perceived risk). A cross