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Health Education Research Advance Access originally published online on December 6, 2007
Health Education Research 2008 23(5):848-858; doi:10.1093/her/cym072
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

The recent dramatic decline in road mortality in France: how drivers’ attitudes towards road traffic safety changed between 2001 and 2004 in the GAZEL cohort

A. Constant1,*, L. R. Salmi2, S. Lafont3, M. Chiron3 and Emmanuel Lagarde4

1 INSERM U593, Equipe Avenir, Prévention et prise en charge des Traumatismes, IFR99, ISPED, Bordeaux, F-33076, France
2 INSERM U593, Equipe Avenir, Prévention et prise en charge des Traumatismes, IFR99, ISPED, CHU, Service d'informatique médicale, Bordeaux, F-33076, France
3 Institut National de Recherche sur les Transports et leur Sécurité, UMR T9405, Université de Lyon-Université Lyon 1, InVS, Bron, F-69675, France
4 INSERM U593, Equipe Avenir, Prévention et prise en charge des Traumatismes, IFR99, ISPED, Bordeaux, F-33076, France

* Correspondence to: A. Constant, INSERM Unité 593, Equipe Avenir Prévention et Prise en Charge des Traumatismes, Université Victor Segalen Bordeaux 2, Case 40, 146 rue Léo Saignat, 33076 Bordeaux, Cedex, France. E-mail: aymery.constant{at}isped.u-bordeaux2.fr

A very significant decline in the number of road casualties has been observed recently in France, concomitantly with a dramatic increase in law enforcement. The aim of this study was (i) to assess changes in attitudes about road traffic accident (RTA) prevention initiatives in France from 2001 to 2004 and (ii) to identify factors associated with an increase in positive attitudes towards RTA prevention initiatives. In 2001 and 2004, 9216 participants reported their attitudes towards traffic safety using the same self-administered Driving Behaviour and Road Safety Questionnaire. Sociodemographic, psychological and behavioural data were also available. The mean change in scores analysis showed that support for relaxing existing regulations decreased significantly during this period, while support for heightened enforcement and stricter regulations showed some decrease but remained high overall, especially concerning blood alcohol content and speed controls. Multivariate analyses suggest that highly educated drivers changed their attitudes towards road safety regulations more than other categories. Our results suggest that increased traffic law enforcement measures led to increasing support for current restrictions. Even if support for additional traffic law enforcement began to wane slightly in 2004, a large part of our population remained in favour of strengthening law enforcement related to speeding and drunk driving.

Received on February 2, 2007; accepted on October 23, 2007


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