Haegerich Tamara M, Shults Ruth A, Oman Roy F, Vesely Sara K
Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Hwy NE MS F62, Atlanta, GA, 30341, USA.
University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
J Prim Prev. 2016 Jun;37(3):231-45. doi: 10.1007/s10935-016-0418-7.
Drinking and driving among adolescents and young adults remains a significant public health burden. Etiological research is needed to inform the development and selection of preventive interventions that might reduce alcohol-involved crashes and their tragic consequences. Youth assets-that is, skills, competencies, relationships, and opportunities-can help youth overcome challenges, successfully transition into adulthood, and reduce problem behavior. We examined the predictive influence of individual, relationship, and community assets on drinking and driving (DD) and riding with a drinking driver (RDD). We assessed prospective relationships through analysis of data from the Youth Assets Study, a community-based longitudinal study of socio-demographically diverse youth. Results from calculation of marginal models using a Generalized Estimating Equation approach revealed that parent and peer relationship and school connectedness assets reduced the likelihood of both drinking and driving and riding with a drinking driver approximately 1 year later. The most important and consistent asset that influenced DD and RDD over time was parental monitoring, highlighting the role of parental influence extending beyond the immediate teen driving context into young adulthood. Parenting-focused interventions could influence factors that place youth at risk for injury from DD to RDD, complementing other evidence-based strategies such as school-based instructional programs and zero tolerance Blood Alcohol Concentration laws for young and inexperienced drivers.
青少年和青年群体中的酒后驾车现象仍然是一项重大的公共卫生负担。需要开展病因学研究,为预防干预措施的制定和选择提供依据,这些措施可能会减少与酒精相关的撞车事故及其悲剧性后果。青少年所拥有的资产,即技能、能力、人际关系和机会,能够帮助他们克服挑战,顺利过渡到成年期,并减少问题行为。我们研究了个人、人际关系和社区资产对酒后驾车(DD)以及乘坐酒驾者车辆(RDD)的预测影响。我们通过分析青年资产研究的数据来评估前瞻性关系,该研究是一项基于社区的针对社会人口统计学特征各异的青少年的纵向研究。使用广义估计方程方法计算边际模型的结果显示,大约1年后,父母和同伴关系以及学校归属感资产降低了酒后驾车和乘坐酒驾者车辆的可能性。随着时间推移,影响酒后驾车和乘坐酒驾者车辆的最重要且始终如一的资产是父母的监督,这凸显了父母的影响作用从青少年直接的驾驶环境延伸至成年期。以养育方式为重点的干预措施可能会影响那些使青少年面临酒后驾车及乘坐酒驾者车辆受伤风险的因素,这是对其他循证策略(如以学校为基础的教学项目以及针对年轻和无经验驾驶者的零容忍血液酒精浓度法律)的补充。