García-España J Felipe, Ginsburg Kenneth R, Durbin Dennis R, Elliott Michael R, Winston Flaura K
Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
Pediatrics. 2009 Oct;124(4):1069-75. doi: 10.1542/peds.2008-3443.
The goal was to explore teen driver vehicle access and its association with risky driving behaviors and crashes.
A nationally representative, school-based survey of 2167 ninth-, 10th-, and 11th-graders examined patterns of vehicle access (primary access [ie, the teen is the main driver of the vehicle] versus shared access) and associated driving exposure, risky driving behaviors, and sociodemographic factors.
Seventy percent of drivers reported having primary access to vehicles. They were more likely to be white, to be in 11th grade, to attend schools with higher socioeconomic levels, to have mostly A/B grades, to have a job, to drive a pickup truck, and to drive more hours per week but were not more or less likely to consume alcohol or to wear seat belts while driving. Compared with drivers with shared access, drivers with primary access reported more than twice the crash risk (risk ratio [RR]: 2.05 [95% confidence interval [CI]: 1.41-2.99]) and higher likelihoods of using cellular telephones while driving (RR: 1.23 [95% CI: 1.12-1.35]) and speeding> or =10 mph above the posted limit (RR: 1.24 [95% CI: 1.11-1.40]).
Primary access of novice teen drivers to vehicles is highly prevalent in the United States. This practice is a dangerous norm, because primary access is associated with risky driving behaviors. Healthcare providers and schools should consider counseling parents to discourage giving novice teen drivers primary access to vehicles. In communities where teens require primary access (eg, due to limited public transportation options), greater efforts should be made to promote safe behaviors.
旨在探究青少年驾驶员获得车辆使用权的情况及其与危险驾驶行为和撞车事故的关联。
一项针对2167名九年级、十年级和十一年级学生的全国性代表性学校调查，研究了车辆使用权模式（主要使用权[即青少年是车辆的主要驾驶者]与共享使用权）以及相关的驾驶暴露情况、危险驾驶行为和社会人口统计学因素。
70%的驾驶员报告拥有车辆的主要使用权。他们更有可能是白人、十一年级学生、就读于社会经济水平较高的学校、成绩大多为A/B、有工作、驾驶皮卡，且每周驾驶时间更长，但在饮酒或开车时系安全带方面的可能性并无差异。与拥有共享使用权的驾驶员相比，拥有主要使用权的驾驶员报告的撞车风险高出两倍多（风险比[RR]：2.05[95%置信区间[CI]：1.41 - 2.99]），开车时使用手机的可能性更高（RR：1.23[95%CI：1.12 - 1.35]），以及超速超过或等于张贴限速10英里/小时以上的可能性更高（RR：1.24[95%CI：1.11 - 1.40]）。
在美国，新手青少年驾驶员获得车辆的主要使用权非常普遍。这种做法是一种危险的常态，因为主要使用权与危险驾驶行为相关。医疗保健提供者和学校应考虑建议家长不要让新手青少年驾驶员获得车辆的主要使用权。在青少年需要主要使用权的社区（例如，由于公共交通选择有限），应加大力度促进安全行为。
