Department of Emergency Medicine, Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale University School of Medicine.
Department of Emergency Medicine, Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale University School of Medicine; Department of Health and Exercise Science, Colorado State University, Fort Collins, Colorado; Department of Community and Behavioral Health, Colorado School of Public Health, Fort Collins, Colorado.
J Adolesc Health. 2021 Jan;68(1):191-198. doi: 10.1016/j.jadohealth.2020.05.003. Epub 2020 Jul 6.
More teens delay in driving licensure (DDL). It is conceivable they miss Graduated Driver Licensing (GDL) safety benefits. We assessed prevalence, disparities, and factors associated with DDL among emerging adults.
Data used were from all seven waves (W1-7) of the NEXT Generation Health Study (W1 in 10th grade [2009-2010]). The outcome variable was DDL (long-DDL [delayed >2 years], intermediate-DDL [delayed 1-2 years] versus no-DDL), defined as participants receiving driver licensure ≥1 year after initial eligibility. Independent variables included sex, urbanicity, race/ethnicity, family structure, parental education, family affluence, parental monitoring knowledge, parent perceived importance of alcohol nonuse, and social media use. Logistic regressions were conducted.
Of 2,525 participants eligible for licensure, 887 (38.9%) reported intermediate-DDL and 1,078 (30.1%) long-DDL. Latinos (adjusted odds ratio [AOR] = 2.5 vs. whites) and those with lower affluence (AOR = 2.5 vs. high) had higher odds of intermediate-DDL. Latinos (AOR = 4.5 vs. whites), blacks (AOR = 2.3 vs. whites), those with single parent (AOR = 1.7 vs. both biological parents), whose parents' education was high school or less (AOR = 3.7 vs. bachelor+) and some college (AOR = 2.0 vs. bachelor+) levels, and those with lower affluence (AOR = 4.4 vs. high) had higher odds of long-DDL. Higher mother's monitoring knowledge (AOR = .6) was associated with lower odds of long-DDL, but not intermediate-DDL.
Some teens that DDL "age out" of protections afforded to them by GDL driver restrictions. Minority race/ethnicity, socioeconomic status, urbanicity, and parenting factors contribute to DDL. Further study of these factors and their individual/collective contributions to DDL is needed to understand potential unintended consequences of GDL, particularly in more vulnerable youth.
越来越多的青少年延迟获得驾驶执照(DDL)。可以想象,他们错过了驾驶员分级许可(GDL)的安全益处。我们评估了青少年中 DDL 的流行率、差异和相关因素。
使用的数据来自下一代健康研究(NEXT Generation Health Study)的所有七个波次(W1-W7)(第 10 年级的 W1 波次[2009-2010 年])。因变量为 DDL(长 DDL[延迟>2 年]、中 DDL[延迟 1-2 年]与无 DDL),定义为参与者在初始资格后至少 1 年获得驾驶执照。自变量包括性别、城市性、种族/民族、家庭结构、父母教育程度、家庭富裕程度、父母监控知识、父母感知的酒精不使用重要性以及社交媒体使用情况。进行了逻辑回归分析。
在 2525 名符合获得执照资格的参与者中,887 名(38.9%)报告了中 DDL,1078 名(30.1%)报告了长 DDL。拉丁裔(调整后的优势比 [AOR]为 2.5 比白人)和富裕程度较低的人(AOR 为 2.5 比高)具有更高的中 DDL 几率。拉丁裔(AOR 为 4.5 比白人)、黑人(AOR 为 2.3 比白人)、单亲家庭(AOR 为 1.7 比双亲)、父母教育程度为高中或以下(AOR 为 3.7 比学士学位+)和一些大学(AOR 为 2.0 比学士学位+)以及富裕程度较低的人(AOR 为 4.4 比高)具有更高的长 DDL 几率。母亲监控知识较高(AOR 为.6)与长 DDL 的几率较低有关,但与中 DDL 无关。
一些青少年因年龄原因“超出”GDL 驾驶员限制给予他们的保护。少数族裔、社会经济地位、城市性和养育因素导致了 DDL。需要进一步研究这些因素及其对 DDL 的个体/集体贡献,以了解 GDL 的潜在意外后果,特别是在更脆弱的青少年中。