Prevalence of drink driving in road traffic in Denmark

Authors

DOI:

https://doi.org/10.55329/wuxs2531

Keywords:

alcohol, drink driving, driving under the influence, DUI, prevalence survey, road safety

Abstract

Driving under the influence of alcohol (DUI) is among the riskiest traffic behaviours road users can conduct. To combat drink driving, clarifying its prevalence is paramount. The objective of this study is to map DUI prevalence in Denmark and separate DUI prevalence into geography (police districts), time of day and day of the week, gender and road user modes. In April 2018 to December 2019, 116,378 DUI breath test samples were taken in all (12) Danish police districts. The survey was designed to mirror real life traffic prevalence; thus, the screened road user would represent the average road user. For each sample, road user mode, gender, age were recorded, and the road user was screened for breath alcohol concentration (BrAC). In the case of a positive screening outcome, a more specific breath test was conducted. This was followed by a blood sample in case of BrAC>0.25 mg/L (corresponding to BAC>0.5 g/L). All road users subject to the legal blood alcohol content (BAC) limit of 0.5 g/L were included in the study, i.e. drivers of personal vehicles, vans, lorries, buses, motorcycles, tractors and mopeds. DUI prevalence for drivers “on wheels” was compared to DUI prevalence for drivers in personal injury accidents (PIA). Overall DUI prevalence was 0.2% (95% CI: 0.18%–0.23%). DUI prevalence was lowest in the police district Copenhagen (urban area) and highest in police district Bornholm (most rural area). Twice as many male as female drivers were DUI (0.24% (95% CI: 0.21%–0.28%) and 0.12% (95% CI: 0.08%–0.16%), respectively). Middle-aged drivers were the group with the highest DUI prevalence (0.27%). DUI prevalence in personal injury accidents was disproportionately high in the age group 25–44 suggesting higher BACs and/or a higher accident risk. Moped riders had a significantly higher DUI prevalence (3.1%) than any other road user group. Moreover, the share of DUI personal injury accidents including moped riders was disproportionately high (23.0%) compared to their share of traffic (0.6%). This is probably because of a combination of high BACs due to alcohol addiction and a high vulnerability due to unprotection. DUI primarily took place in the early morning. Overall DUI prevalence in Denmark has been declining over the years. The typical DUI road user is a moped rider, middle-aged male, riding early in the morning.

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Author Biographies

Tove Hels, Danish National Police, Denmark

Tove Hels holds a PhD from University of Copenhagen. She works as an associate professor in the Traffic Research Group at Aalborg University. Tove’s research interests include various aspects of road safety—such as driving under the influence of alcohol and other psychoactive substances, vulnerable road users, randomised controlled trials, speed and risk. She is co-founder of the think tank “Trafiksikkerhed” (Road Safety) in Denmark (www.trafiksikkerhed.dk).

CRediT contribution: Conceptualization, Formal analysis, Funding acquisition, Methodology, Supervision, Validation, Visualization, Writing—original draft.

Lars Klit Reiff, Danish National Police, Denmark

Lars Klit Reiff works as accident investigator at the Danish Police, Central and West Zealand district. Lars' main research interests are in-depth accident investigation, speeding, accidents involving heavy vehicles and driving under the influence of alcohol.

CRediT contribution: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Validation, Visualization, Writing—review & editing.

Harry Lahrmann, Aalborg University, Denmark

Harry Lahrmann graduated from the Technical University of Denmark but has been affiliated with Aalborg University since 1987, first as an assistant professor and then as an associate professor. He is also the founder of the Traffic Research Group. His research areas are transport planning and traffic engineering, with a focus on traffic safety and intelligent transport systems. Over the years, he has authored over 200 scientific conference papers, articles and books within these areas with his colleagues.

CRediT contribution: Writing—review & editing.

Tanja Kidholm Osmann Madsen, Aalborg University, Denmark

Tanja Kidholm Osmann Madsen received her PhD in road safety at Aalborg University (AAU). She is associate professor in the Traffic Research Group and works within the areas of transport planning and transport engineering with a particular focus on road safety. Her current research focuses on the safety of cyclists, underreporting of accidents and alternative data sources, studied through large-scale randomized controlled trials and survey research in collaboration with road authorities and stakeholders.

CRediT contribution: Writing—review & editing.

References

Behrensdorff, I., Bernhoft, I. M., & Christensen, J. (1989). Spritkørsel i Danmark, Driving under the influence of alcohol, in Danish, Rapport 28: Rådet for Trafiksikkerhedsforskning

Borkenstein, R. F., Crowther, R. F., Shumate, R. P., Ziel, W. B., & Zylman, R. (1974). The role of the drinking driver in traffic accidents (the Grand Rapids study). Blutalkohol, Alcohol, Drugs and Behaviour, 11 1-132.

Damsere-Derry, J., Palk, G., & King, M. (2016). Prevalence of alcohol-impaired driving and riding in northern Ghana. Traffic Injury Prevention, 17 226-232. DOI: https://doi.org/10.1080/15389588.2015.1066499

Dong, M., Lee, Y. Y., Cha, J. S., & Huang, G. (2024). Drinking and driving: A systematic review of the impacts of alcohol consumption on manual and automated driving performance. Journal of Safety Research, 89 1-12. DOI: https://doi.org/10.1016/j.jsr.2024.01.006

EC, (2018). Alcohol, Brussels: Directorate General for Transport.

Elvik, R., Høye, A., Vaa, T., & Sørensen, M. (2019). The handbook of road safety measures, Emerald.

ETSC, (2022). Progress in reducing drink driving and other alcohol-related road deaths in Europe,

EU, (2024). Road safety statistics 2023 in more detail,

Furuhaugen, H., Jamt, R. E. G., Nilsson, G., Vindenes, V., & Gjerde, H. (2018). Roadside survey of alcohol and drug use among Norwegian drivers in 2016–2017: A follow-up of the 2008–2009 survey. Traffic Injury Prevention, 19 555-562. DOI: https://doi.org/10.1080/15389588.2018.1478087

Gjerde, H., Christophersen, A. S., Normann, P. T., Assum, T., Øiestad, E. L., & Mørland, J. (2013). Norwegian roadside survey of alcohol and drug use by drivers (2008–2009). Traffic Injury Prevention, 14 443-452. DOI: https://doi.org/10.1080/15389588.2012.728016

Hels, T., Bernhoft, I. M., Simonsen, K. W., Steentoft, A., Houwing, S., Hagenzieker, M., Mathijssen, R., Bernhoft, I. M., Hels, T., Janstrup, K., Van der Linden, T., Legrand, S.-A., & Verstraete, A. (2011). Prevalence of alcohol and other psychoactive substances in drivers in general traffic Part II: Country reports, 36-55.D2.2.3 part2 in the 6FP DRUID; total 216 pp.

Hels, T., Lyckegaard, A., Simonsen, K. W., Steentoft, A., & Bernhoft, I. M. (2013). Risk of severe driver injury by driving with psychoactive substances. Accident Analysis & Prevention, 59 346-356. DOI: https://doi.org/10.1016/j.aap.2013.06.003

Houwing, S., Hagenzieker, M., Mathijssen, R., Bernhoft, I. M., Hels, T., Janstrup, K., Van der Linden, T., Legrand, S.-A., & Verstraete, A. (2011). Prevalence of alcohol and other psychoactive substances in drivers in general traffic Part I and Part II: General results, D2.2.3 part1 in the 6FP DRUID

HVU, (2018). Havarikommissionen for Vejtrafikulykker, Knallertulykker, Vejdirektoratet. 72Temarapport nr. 15 [Moped accidents, in Danish]

Høye, A. K., & Hesjevoll, I. S. (2023). Alcohol and driving—How bad is the combination? A meta-analysis. Traffic Injury Prevention, 24(5), 373-378. DOI: https://doi.org/10.1080/15389588.2023.2204984

Jackson, C. K., & Owens, E. G. (2011). One for the road: Public transportation, alcohol consumption, and intoxicated driving. Journal of Public Economics, 95 106-121. DOI: https://doi.org/10.1016/j.jpubeco.2010.09.010

(2026). Journal of the Danish Parliament [Folketingstidende, in Danish]: L93 Road Traffic Act [Færdselslov, in Danish], No. 153 of 24 May 1955, §16,

Krüger, H.-P., Utzelmann, H. D., Berghaus, D., & Kroj, G. (1993). Alcohol, Drugs and Traffic Safety – T’92, Cologne, Germany: Verlag TÜV Rheinland. 763-778.

Matthews, A. J., Bruno, R., Dietze, P., Butler, K., & Burns, L. (2014). Driving under the influence among frequent ecstasy consumers in Australia: Trends over time and the role of risk perceptions. Drug and Alcohol Dependence, 144 218-224. DOI: https://doi.org/10.1016/j.drugalcdep.2014.09.015

Meesmann, U., Pires, C., & Wardenier, N. (2024). Driving under the influence of alcohol, drugs or medication. ESRA3 Thematic report Nr. 10. ESRA project (E-Survey of Road users’ Attitudes), Vias institute.(2024-R-31-EN)

Oh, S., Vaughn, M. G., Salas-Wright, C. P., AbiNader, M. A., & Sanchez, M. (2020). Driving under the influence of Alcohol: Findings from the NSDUH, 2002–2017. Addictive Behaviors, 108 1-7. DOI: https://doi.org/10.1016/j.addbeh.2020.106439

Ramaekers, J. G., Kuypers, K. P. C., Bosker, W. M., Brookhuis, K. A., Veldstra, J. A., Simons, R., Martens, M., Hjälmdahl, M., Forsman, Å., & Knoche, A. (2012). Effects of stimulant drugs on actual and simulated driving: perspectives from four experimental studies conducted as part of the DRUID research consortium. Psychopharmacology, 222(3), 413-418. DOI: https://doi.org/10.1007/s00213-012-2766-1

Rasmussen, S. R. (2018). Kultur og holdninger til kørsel i påvirket og/eller svækket tilstand [Culture and attitudes towards DUI, in Danish], VIVE Report. 34

Retsinformation, (2024). Færdselsloven [Road Traffic Act],

Sagberg, F., Selpi, S., Piccinini, G. F. B., & Engström, J. A. (2015). Review on research on driving styles and road safety. Human Factors, 57 1248-1275. DOI: https://doi.org/10.1177/0018720815591313

Schnabel, E., Hargutt, V., & Krüger, H.-P. (2010). Meta-analysis of empirical studies concerning the effects of alcohol on safe driving, 1-166.Driving under the Influence of Drugs, Alcohol and Medicines (DRUID) D1.1.2a

Statistics Denmark, (2018). Number of inhabitants by police district

Statistics Denmark, (2025). Road traffic accidents

Statology, (2025). Confidence interval of proportions

Tenzin, T., Karki, R., Duba, T., Jamphel, K., Dhendup, S., Subba, D. K., Dorji, G., Miller, P. G., Connor, J., Barker, D., O’Brien, K. S., & Kypri, K. (2020). Prevalence of drink-driving in Thimphu, Bhutan: Targeted surveillance at sentinel sites. Drug Alcohol Review, DOI: https://doi.org/10.1111/dar.13224

The Danish Road Directorate, (2017). Indberetning af færdselsuheld [Road accident reporting system, in Danish], 1-57.

The Danish Road Directorate, (2018). Accident data. Custom data extraction

The Danish Road Directorate, (2025a). Trafikarbejdet fordelt på køretøjsarter 2018 [Vehicle kilometers distributed by road type, in Danish]

The Danish Road Directorate, (2025b). Trafikulykker for året 2024 [Road accidents for the year 2024, in Danish]

Transport DTU, (2016). The Danish National Travel Survey. Custom data extraction

Published

2026-01-24

How to Cite

Hels, T., Reiff, L. K., Lahrmann, H., & Madsen, T. K. O. (2026). Prevalence of drink driving in road traffic in Denmark. Traffic Safety Research, 10, e000127. https://doi.org/10.55329/wuxs2531

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Section

Research article

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