Vorona Robert Daniel, Szklo-Coxe Mariana, Lamichhane Rajan, Ware J Catesby, McNallen Ann, Leszczyszyn David
Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, VA.
Community and Environmental Health, Old Dominion University, Norfolk, VA.
J Clin Sleep Med. 2014 Nov 15;10(11):1169-77. doi: 10.5664/jcsm.4192.
Early high school start times (EHSST) may lead to sleep loss in adolescents ("teens"), thus resulting in higher crash rates. (Vorona et al., 2011). In this study, we examined two other adjacent Virginia counties for the two years subsequent to the above-mentioned study. We again hypothesized that teens from jurisdictions with EHSST (versus later) experience higher crash rates.
Virginia Department of Motor Vehicles supplied de-identified aggregate data on weekday crashes and time-of-day for 16-18 year old (teen) and adult drivers for school years 2009-2010 and 2010-2011 in Henrico and Chesterfield Counties. Teen crash rates for counties with early versus later school start-times were compared using two-sample Z-tests and these compared to adult crash rates using pair-wise tests.
Henrico teens manifested a statistically higher crash rate of 48.8/1000 licensed drivers versus Chesterfield's 37.9/1000 (p = 0.04) for 2009-2010. For 2010-2011, HC 16-17 year old teens demonstrated a statistically significant higher crash rate (53.2/1000 versus 42.0/1000), while for 16-18 teens a similar trend was found, albeit nonsignificant (p = 0.09). Crash peaks occurred 1 hour earlier in the morning and 2 hours earlier in the afternoon in Chesterfield, consistent with commute times. Post hoc analyses found significantly more run-off road crashes to the right (potentially sleep-related) in Chesterfield teens. Adult crash rates and traffic congestion did not differ between counties.
Higher teen crash rates occurred in jurisdictions with EHSST, as in our prior study. This study contributes to and extends existing data on preventable teen crashes and high school start times.
高中过早的上课时间(EHSST)可能导致青少年睡眠不足,进而导致更高的撞车率(沃罗纳等人,2011年)。在本研究中,我们在上述研究之后的两年里,对弗吉尼亚州另外两个相邻的县进行了调查。我们再次假设,来自实行过早上课时间(与上课时间较晚的地区相比)辖区的青少年撞车率更高。
弗吉尼亚机动车管理局提供了2009 - 2010学年和2010 - 2011学年亨里科县和切斯特菲尔德县16 - 18岁(青少年)及成年驾驶员工作日撞车事故和事故发生时间的匿名汇总数据。使用双样本Z检验比较过早和过晚上课时间的县的青少年撞车率,并使用成对检验将这些数据与成年驾驶员的撞车率进行比较。
2009 - 2010学年,亨里科县青少年的撞车率在统计学上更高,为每1000名持证驾驶员中有48.8起事故,而切斯特菲尔德县为每1000名中有37.9起(p = 0.04)。2010 - 2011学年,亨里科县16 - 17岁青少年的撞车率在统计学上显著更高(每1000名中有53.2起事故,而切斯特菲尔德县为每1000名中有42.0起),而对于16 - 18岁青少年,也发现了类似趋势,尽管不显著(p = 0.09)。切斯特菲尔德县的撞车高峰出现在上午早1小时和下午早2小时,与通勤时间一致。事后分析发现,切斯特菲尔德县青少年中冲出道路右侧的撞车事故(可能与睡眠有关)明显更多。各县之间成年驾驶员的撞车率和交通拥堵情况没有差异。
与我们之前的研究一样,实行过早上课时间的辖区青少年撞车率更高。本研究为可预防的青少年撞车事故和高中上课时间的现有数据做出了贡献并进行了拓展。