Driving under the influence: An analysis of second-time offenders and intervention success, Turkey sample

Abstract

Objectives Driving under the influence (DUI) of alcohol is a major public health issue that results in significant mortality, morbidity, and economic costs. Despite various penalties and interventions, DUI remains prevalent. This study examines the demographic characteristics, educational status, and involvement in motor vehicle accidents of second-time DUI offenders, aiming to identify factors influencing the success of educational interventions. Methods Between 2018 and 2023, 151 individuals whose driver’s licenses were suspended for a second DUI offense participated in this study. All participants applied to the Adıyaman Provincial Health Directorate, located in the southeast region of Turkey, to regain their licenses. Data were collected from application documents and digital records during and after the educational program, which included identity information, demographic characteristics, reasons for alcohol consumption, license duration, education level, educational success, frequency of alcohol use, and behavior under the influence. Penalties and traffic accidents in the last 5 years were also recorded. Results Participants with a high school education and above had a significantly higher success rate in the educational program (P = .03). Those without penalties (P = .001) and those not involved in traffic accidents (P = .006) also showed higher success rates. Conclusion Despite its limitations, this study shows that second-time DUI offenders who have previous traffic tickets or accidents are less likely to succeed in educational interventions. These findings suggest the need for tailored training programs, extended durations, and personalized evaluations to improve outcomes for these high-risk groups. Future research should explore prospective studies to confirm these results and guide intervention strategies.