{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:30:18Z","timestamp":1760236218761,"version":"build-2065373602"},"reference-count":40,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study explored the important factors affecting drunk car\/motorbike drivers\u2019 willingness to use and pay for alcohol interlocks. Data were obtained through a survey upon choice-based sampling conducted in central Taiwan. Questionnaires were distributed to the participants of drunk driving and road safety education courses from 17 August to 26 October 2020. All drunk drivers whose driver\u2019s licenses are revoked for drunk driving are mandated to participate in this course. Prior to the survey, the researchers explained the questionnaires, instructed the participants to complete the questionnaires, and then collected all the questionnaires. The socioeconomic characteristics of drunk drivers, awareness of alcohol interlocks and drunk driving, drinking patterns and health self-assessment before and after drunk driving ban enforcement, and changes in the number of trips were investigated. This study applied the double-hurdle model for data analysis to estimate the variables affecting drunk car\/motorbike drivers. Results indicate that the respondents who were classified by the Alcohol Use Disorders Identification Test as high-risk drinkers before and after drunk driving ban enforcement were more willing to use alcohol interlocks and to pay higher prices. Additionally, the respondents with declined health self-assessments were also more willing to use alcohol interlocks and pay higher prices. This study suggests offering subsidies for alcohol interlocks to families with financial difficulties, in order to increase the alcohol interlock installation rate. Moreover, since the current duration of license suspension and withdrawal is considerably long, drunk drivers avoid using and installing alcohol interlocks by reducing the number of trips. In other words, the willingness to install alcohol interlocks may be increased by reducing the duration of license suspension and withdrawal.<\/jats:p>","DOI":"10.3390\/ijerph182111516","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T12:39:42Z","timestamp":1635856782000},"page":"11516","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Car\/Motorbike Drivers\u2019 Willingness to Use and to Pay for Alcohol Interlock in Taiwan"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1167-0467","authenticated-orcid":false,"given":"Rong-Chang","family":"Jou","sequence":"first","affiliation":[{"name":"Department of Civil Engineering, National Chi Nan University, Nantou 545301, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9511-9359","authenticated-orcid":false,"given":"Yi-Hao","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Civil Engineering, National Chi Nan University, Nantou 545301, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"ref_1","unstructured":"(2021, September 27). Driving Under the Influence of Alcohol and Drugs (ESRA Thematic Report No. 2). Available online: https:\/\/www.esranet.eu\/storage\/minisites\/esra2015thematicreportno2duialcoholanddrugs.pdf."},{"key":"ref_2","unstructured":"WHO. Global Health Estimates (2016). Deaths by Cause, Age, Sex, by Country and by Region, 2000\u20132016, World Health Organization."},{"key":"ref_3","unstructured":"(2021, November 01). National Police Agency, Ministry of the Interior, Available online: https:\/\/www.npa.gov.tw\/ch\/app\/data\/view?module=wg073&id=2300&serno=15A1096601."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.aap.2017.08.021","article-title":"Associations between alcohol consumption patterns and attitudes towards alcohol interlocks","volume":"108","author":"Bishop","year":"2017","journal-title":"Accid. Anal. Prev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1016\/j.aap.2016.06.011","article-title":"Program design for incentivizing ignition interlock installation for alcohol-impaired drivers: The Ontario approach","volume":"95","author":"Ma","year":"2016","journal-title":"Accid. Anal. Prev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.aap.2019.01.010","article-title":"Drink drivers\u2019 views of a voluntary alcohol interlock programme for drink driving offenders in Sweden","volume":"124","author":"Forsman","year":"2019","journal-title":"Accid. Anal. Prev."},{"key":"ref_7","unstructured":"(2021, September 27). Alcohol Ignition Interlock Use Rates Following Changes in Interlock Legislation, Available online: https:\/\/rosap.ntl.bts.gov\/view\/dot\/53774."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.aap.2016.12.017","article-title":"An evaluation of Nova Scotia\u2019s alcohol ignition interlock program","volume":"100","author":"VanLaar","year":"2017","journal-title":"Accid. Anal. Prev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"105888","DOI":"10.1016\/j.aap.2020.105888","article-title":"Long-term effectiveness of the alcohol ignition interlock programme: A retrospective cohort study in the Netherlands","volume":"151","author":"Blom","year":"2021","journal-title":"Accid. Anal. Prev."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1080\/15389588.2020.1791323","article-title":"Driver experiences with the alcohol ignition interlock: Comparing successful and poor performers","volume":"21","author":"Beck","year":"2020","journal-title":"Traffic Inj. Prev."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.trf.2017.11.023","article-title":"The influence of social factors and personality constructs on drink driving among young licenced drivers","volume":"52","author":"Watling","year":"2018","journal-title":"Transp. Res. Part F Traffic Psychol. Behav."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"653","DOI":"10.2307\/1143850","article-title":"Rational Choice, Deterrence, and Social Learning Theory in Criminology: The Path Not Taken","volume":"81","author":"Akers","year":"1990","journal-title":"J. Crim. Law Criminol."},{"key":"ref_13","unstructured":"WHO (2021, March 28). AUDIT: The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Health Care. Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/67205."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.trf.2017.08.006","article-title":"Factors associated with motorcyclists\u2019 speed behaviour on Malaysian roads","volume":"50","author":"Manan","year":"2017","journal-title":"Transp. Res. Part F Traffic Psychol. Behav."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.trf.2021.05.011","article-title":"Correlations of multiple rider behaviors with self-reported attitudes, perspectives on traffic rule strictness and social desirability","volume":"80","author":"Ziakopoulos","year":"2021","journal-title":"Transp. Res. Part F Traffic Psychol. Behav."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.tranpol.2016.01.005","article-title":"An application of the double hurdle model to petrol and diesel household expenditures in Ireland","volume":"47","author":"Eakins","year":"2016","journal-title":"Transp. Policy"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"6699270","DOI":"10.1155\/2021\/6699270","article-title":"Low-Cost Carrier Passengers\u2019 Willingness to Pay for the Seat Preselection Service: A Case Study on the Taiwan-Japan Route","volume":"2021","author":"Jou","year":"2021","journal-title":"J. Adv. Transp."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Jou, R.-C., and Syu, L.-W. (2021). Drunk Drivers\u2019 Willingness to Use and to Pay for Designated Drivers. Sustainability, 13.","DOI":"10.3390\/su13105362"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.trf.2019.08.024","article-title":"Dimensions of aberrant driving behaviour and their relation to crash involvement for drivers in New Zealand","volume":"66","author":"Sullman","year":"2019","journal-title":"Transp. Res. Part F Traffic Psychol. Behav."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1080\/17457300.2021.1928234","article-title":"Examining the relationship between impaired driving and past crash involvement in Europe: Insights from the ESRA study","volume":"28","author":"Ziakopoulos","year":"2021","journal-title":"Int. J. Inj. Control. Saf. Promot."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12544-019-0384-2","article-title":"Influence of drivers\u2019 visual and cognitive attention on their perception of changes in the traffic environment","volume":"11","year":"2019","journal-title":"Eur. Transp. Res.Rev."},{"key":"ref_22","first-page":"33","article-title":"The alcohol use disorders identification test (audit) and the smast-13: Predictive validity in a rural primary care sample","volume":"28","author":"Barry","year":"1993","journal-title":"Alcohol Alcohol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"829","DOI":"10.2307\/1909582","article-title":"Some statistical models for limited dependent variables with application to the demand for durable goods","volume":"39","author":"Cragg","year":"1971","journal-title":"Econometrica"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/jae.3950040103","article-title":"A double-hurdle model of cigarette consumption","volume":"4","author":"Jones","year":"1989","journal-title":"J. Appl. Econ."},{"key":"ref_26","unstructured":"Pudney, S. (1989). Modelling Individual Choice, Basil Blackwell."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0304-4076(87)90072-8","article-title":"Bivariate alternatives to the Tobit model","volume":"34","author":"Blundell","year":"1987","journal-title":"J. Econ."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1080\/0003684032000079170","article-title":"A double-hurdle model of Irish household expenditure on prepared meals","volume":"35","author":"Newman","year":"2003","journal-title":"Appl. Econ."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"McDonald, J.F., and Moffitt, R.A. (1980). The uses of Tobit analysis. Rev. Econ. Stat., 318\u2013321. Available online: https:\/\/www.jstor.org\/stable\/1924766?seq=1#metadata_info_tab_contents.","DOI":"10.2307\/1924766"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1017\/S1068280500003609","article-title":"Modeling U.S. Butter Consumption with Zero Observations","volume":"24","author":"Yen","year":"1995","journal-title":"Agric. Resour. Econ. Rev."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1080\/00036840500399750","article-title":"Spanish food expenditure away from home (FAFH): By type of meal","volume":"38","author":"Mutlu","year":"2006","journal-title":"Appl. Econ."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"2463","DOI":"10.1080\/00036840600970229","article-title":"A double-hurdle approach to modelling tobacco consumption in Italy","volume":"40","author":"Aristei","year":"2008","journal-title":"Appl. Econ."},{"key":"ref_33","unstructured":"Tabachnick, B.G., Fidell, L.S., and Ullman, J.B. (2007). Using Multivariate Statistics, Pearson."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Williams, B., Onsman, A., and Brown, T. (2010). Exploratory factor analysis: A five-step guide for novices. Australas. J. Paramed., 8.","DOI":"10.33151\/ajp.8.3.93"},{"key":"ref_35","unstructured":"Mallery, P., and George, D. (2000). SPSS for Windows Step by Step, Allyn & Bacon, Inc."},{"key":"ref_36","first-page":"86","article-title":"Motivation for Change and Alcoholism Treatment","volume":"23","author":"DiClemente","year":"1999","journal-title":"Alcohol Res. Health J. Natl. Inst. Alcohol Abus. Alcohol."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Miller, W.R., and Tonigan, J.S. (1997). Assessing Drinkers\u2019 Motivation for Change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES), American Psychological Association.","DOI":"10.1037\/t00536-000"},{"key":"ref_38","unstructured":"(2021, September 27). Options to Extend Coverage of Alcohol Interlock Programs (1925294757). Available online: https:\/\/trid.trb.org\/view\/1372584."},{"key":"ref_39","unstructured":"Filtness, A., Sheehan, M., Fleiter, J., Armstrong, K., and Freeman, J. (2021, September 27). Options for Rehabilitation in Interlock Programs (1925294188). Available online: https:\/\/trid.trb.org\/View\/1350527."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"865","DOI":"10.2105\/AJPH.2016.303058","article-title":"Impact of state ignition interlock laws on alcohol-involved crash deaths in the United States","volume":"106","author":"Kaufman","year":"2016","journal-title":"Am. J. 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