DBI/DBD are well worth learning and this sounds like a good task to learn on... As for other methods, you could manually export in access, or write a vbscript thing to do it or maybe use Win32::OLE to control access to do it.

here's a snippet that shows how i set up a Class::DBI connection (you can use the same connection string for DBI):

our $dbopts = { AutoCommit=>0, LongTruncOk => 1, LongReadLen => 255 };
our $dsn = GBPVR::CDBI::mdb2dsn('C:\foo.mdb');
MyPackage::CDBI->set_db('Main', "dbi:ODBC:$dsn", '', '', $dbopts );
sub mdb2dsn { my $mdb = shift; return 'driver=Microsoft Access Driver 
+(*.mdb);dbq=' . $mdb; }
1;
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DBI example (see the Tutorials as well):

use DBI;
my $dbh = DBI->connect($dsn,$user,$pass,{ShowErrorStatement=>1,RaiseEr
+ror => 1, AutoCommit=>0});
my $aref = $dbh->selectall_arrayref("select * from $table",{Slice=>{}}
+); # gives ref to AoH
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