Health Behavior Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Adolesc Health. 2018 Nov;63(5):568-574. doi: 10.1016/j.jadohealth.2018.04.012. Epub 2018 Jul 10.
Novice adolescents' crash rates are highly elevated early in licensure, despite substantial practicedriving during the learner period. The objectives of this study were to examine the variability in measures of driving risk among adolescents during the learner and early independent driving periods and evaluate how risk varies by driving experience, gender, time of day, and road surface conditions.
Objective driving data were collected in a naturalistic cohort study of 90 adolescent drivers with learner driving permit and 131 experienced adult drivers. Participants' private vehicles were equipped with data acquisition system documenting driving kinematics, miles driven, and video recordings of the driver and the driving environment. Crash/near-crash (CNC) and kinematic risky driving (KRD) rates were calculated during the learner and early independent driving periods by gender (female/male), time of day (day/night), and road surface conditions (wet/dry) for adolescents and adults.
CNC and KRD rates of adolescents were similar to adult drivers during the learner period (CNC: incident rate ratio [IRR] = 1.67, confidence interval [CI] = .98-2.82 and KRD: IRR = 1.04, CI = .78-1.40, respectively), but dramatically higher in the first year of independent driving (CNC: IRR = 6.51, CI = 4.03-10.51 and KRD: IRR = 3.95, CI = 2.96-5.26, respectively), and particularly elevated the first 3months of licensure. Adolescent KRD rates were higher for males than females and invariably higher than adult rates during day and night, wet and dry conditions.
While the learner driving period was relatively safe for adolescents, the transition to independent driving was typified by a dramatic increase in risk among adolescents that was higher than adult rates overall and under varying driving conditions.
尽管新手在学习驾驶期间有大量的练习驾驶,但新手在获得驾照的早期阶段,事故率仍居高不下。本研究的目的是检查新手和早期独立驾驶期间青少年驾驶风险的变化,并评估风险如何因驾驶经验、性别、时间和路面状况而变化。
对 90 名持有学习驾驶许可证的青少年司机和 131 名有经验的成年司机进行自然主义队列研究,收集了他们的客观驾驶数据。参与者的私人车辆配备了数据采集系统,记录驾驶运动学、行驶里程以及驾驶员和驾驶环境的视频记录。根据青少年和成年男性/女性、白天/夜间和干湿路面状况,计算了学习驾驶期间和早期独立驾驶期间的碰撞/接近碰撞(CNC)和运动学危险驾驶(KRD)率。
在学习期间,青少年的 CNC 和 KRD 率与成年司机相似(CNC:发生率比[IRR] = 1.67,置信区间[CI] = 0.98-2.82,KRD:IRR = 1.04,CI = 0.78-1.40),但在独立驾驶的第一年急剧上升(CNC:IRR = 6.51,CI = 4.03-10.51,KRD:IRR = 3.95,CI = 2.96-5.26),特别是在获得驾照的头 3 个月。在白天和晚上、湿滑和干燥条件下,男性青少年的 KRD 率高于女性青少年,并且始终高于成年司机的 KRD 率。
虽然学习驾驶期间对青少年来说相对安全,但向独立驾驶的过渡以青少年风险的急剧增加为特征,总体上高于成年司机的风险,且在不同的驾驶条件下均如此。